04/11/2014
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out a comprehensive inspection of Belgrave Surgery on 4 November 2014.
We rated the practice overall as Good.
Our key findings were as follows:
- Staff reported incidents and learning took place. The practice had enough staff to deliver the service. Services were delivered using evidence based practice.
- Staff were caring and compassionate. Patients told us they were treated with dignity and respect.
- The practice was responsive to the needs of patients and took into account any comments, concerns or complaints to improve the practice.
- The practice was well led, with an accessible and visible management team with clear direction. Governance systems and processes were in place and quality management information was available and used to improve outcomes for patients.
We saw two areas of outstanding practice including:
- The practice was linked with Scarborough University Campus. The practice staff attended Fresher’s week at the University where they offered on campus health assessments for students who wished to register. Students were provided with health information packs. Health and well-being events also took place at the University throughout the year and the practice worked in conjunction with the University Counselling Service.
- Clinical and reception staff had used their initiative when they had raised a concern about a vulnerable patient to other agencies which led to a positive outcome for the patient. The practice had been commended by the Domestic Abuse Team.
However, there were also areas of practice where the provider needed to make improvements.
Importantly, the provider should:
- Ensure that all emergency medication is within its expiry date.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice