This practice is rated as Requires Improvement overall. (Previous inspection August 2016 – Requires Improvement)
The key questions are rated as:
Are services safe? – Requires Improvement
Are services effective? – Requires Improvement
Are services caring? – Good
Are services responsive? – Requires Improvement
Are services well-led? - Requires Improvement
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 – Requires Improvement
People with long-term conditions – Requires Improvement
Families, children and young people – Requires Improvement
Working age people (including those recently retired and students – Requires Improvement
People whose circumstances may make them vulnerable – Requires Improvement
People experiencing poor mental health (including people with dementia) - Requires Improvement
We previously inspected Dr Samuel Levenson at a previous location on 11 August 2016. At this inspection the service was rated as requires improvement. Since this inspection the provider had moved into a new purpose built location. We carried out an announced comprehensive inspection at Dr Samuel Levenson on 9 March 2018 as part of our inspection programme.
At this inspection we found:
- The practice had made improvements since their last inspection in particular around safety processes and governance within the practice. However, there were still further improvements needed.
- The practice had some systems to manage risk so that safety incidents were less likely to happen but some improvements were still needed. When incidents did happen, the practice learned from them and improved their processes but incidents were not always discussed at team meetings.
- 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.
- Staff did not always receive the training or supervision required in order to carry out their role.
- The practice was underperforming in the Quality Outcome Framework results.
- Patients did not find the appointment system easy to use and reported that they often had long waits to be seen by the doctor.
- There was a strong focus on improving within the practice and the practice had acknowledged there were still improvements to be made in order to become compliant with the regulations.
The areas where the provider must make improvements are:
- Persons employed by the service must receive appropriate training and supervision.
- Ensure systems or processes are established and operated effectively to ensure good governance of the service.
The areas where the provider should make improvements are:
- The practice should review patient feedback relating to waiting times and access.
- The practice should review their QOF scores.
- The practice should attend local neighbourhood safeguarding meetings.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice