T
his practice is rated as Good overall. (Previous rating Sept 2017 – Requires Improvement)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Requires Improvement
We carried out an announced comprehensive inspection at West View Medical Surgery on 19 October 2018. This was to follow up on previous breaches of regulations identified at out last inspection of this practice in September 2017. At our previous inspection, we rated the practice as requires improvement overall, as well as for being safe, effective and well led. We rated the practice as good for being responsive and caring.
At this inspection we found:
- The practice had 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. However, they did not always record evidence of monitoring activity to provide assurance of safety systems. We were not assured of the governance processes for infection control, recruitment, checking equipment and medicines and evidencing the action they had taken in relation to patient safety alerts.
- The practice had a programme of quality improvement activity and had started to review the effectiveness and appropriateness of the care provided. They ensured that care and treatment was delivered according to evidence- based guidelines.
- 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.
- The practice had a clear vision and credible strategy to deliver high quality, sustainable care. Leadership arrangements had improved. However, there were still areas where the governance processes were not fully embedded or did not demonstrate effective monitoring and control.
The area where the practice must make improvement are:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care
The areas where the provider should make improvements are:
- Continue to develop their approach to quality improvement and clinical audit to ensure there is a strong link between activity taken and the improvement of outcomes for patients.
- Develop effective system to increase identification of patients who are also carers to ensure they are receiving the support they need to stay healthy and well.
- Review the emergency medicines held by the practice to enable them to deal with medical emergencies. Where the practice decides not to hold a medicine recommended by the UK Resuscitation Council, make sure there is an appropriate risk assessment in place to support this decision.
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.