5 December 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Redwood House Surgery on 5 December 2017. The current GP partnership was registered with CQC in January 2017. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether Redwood House Surgery was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. Any data we refer to in this report is the most up to date available data which may refer to the previous provider but is applicable for many of the same staff and patient list.
At this inspection we found:
- The practice had some systems to manage safety. However, these were not always consistently applied and we found concerns with medicines management, staff recruitment files and identifying and managing risk.
- 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.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice responded to patient feedback and complaints and made changes to services where possible.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Review training for non-clinical staff in relation to sepsis.
- Mental capacity act training should be offered to staff.
- Ensure staff health needs are identified, reviewed and recorded so reasonable adjustments can be made, where necessary.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice