This practice is rated as Requires Improvement overall. (Previous rating February 2015 – Good)
The key questions at this inspection are rated as:
Are services safe? – Requires Improvement
Are services effective? – Requires Improvement
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at Chineham Medical Practice on 21 June 2018 as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- Several mandatory training modules were not up to date for some members of staff.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Patient outcomes data was below local and national average in some areas. For example, Quality and Outcome Framework (QOF) data had not been fully addressed with regards to clinical indicators for diabetes and mental health outcomes.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it for urgent reasons.
- The practice scored higher than local and national averages in the National GP Survey for treating their patients with kindness and compassion.
- There was a focus on continuous learning and improvement at all levels of the organisation.
- Staff had been supported to develop their professional skills and remained at the practice in their new roles which benefited the patient population.
The areas where the provider must make improvements as they are in breach of regulations are:
- Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.
- Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Review arrangements for identifying and registering patients who are also carers.
- Review practice policies to ensure all contain up to date information and feature an appropriate review date.
- Continue to review patient feedback regarding access to appointments and the experience of making appointments.
- Review how Quality and Outcome Framework (QOF) data is monitored to improve clinical indicators in diabetes, mental health and uptake of cervical screening.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.