23 May 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Drs A E Williams, D De Rosa & A N Koodaruth on 23 May 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the duty of candour.
There were areas of practice where the provider must make improvements:
- Ensure that the practice protocols and procedures are reviewed so that all staff have mandatory training related to health and safety such as fire safety and infection control.
There were areas of practice where the provider should make improvements:
- Ensure national guidelines for children who do not attend for hospital events are followed.
- Review the current arrangements for checking the safety of the environment and receiving reports on the outcome of environmental risk assessments carried out at the practice to confirm that required actions are addressed.
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Review complaint handling procedures and establish a system for identifying, receiving, recording, handling and responding to verbal complaints.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice