12 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? – Good
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 unannounced comprehensive inspection at Locality Health Centre on 12th December 2017 as part of our inspection programme.
At this inspection we found:
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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.
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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.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Patients did not always find the appointment system easy to use; the practice was looking a system to improve this.
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There was a focus on continuous learning and improvement at all levels of the organisation.
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They were knowledgeable about issues and priorities relating to the quality and future of services. They understood the challenges involved and were addressing them.
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The practice was sited within the For All Health Living Centre which was part of the central hub of the community and worked with other organisations to improve the outcomes for patients in that area.
The areas where the provider should make improvements are to:
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Review how patients with long term conditions or those prescribed with at risk medicines receive their reviews in a timely way in accordance with guidance.
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Review systems to ensure there is a cross practice system for sharing information and learning from incidents.
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Review systems to ensure changes are made to the policies and procedures currently in use so that they reflect the appropriate organisation ownership and offer clarity to staff.
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Review processes for recruitment documentation to ensure it is held together in one place and includes detail of the immunisation status of clinical staff.
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Review systems of how patients were to gain access to the practice by phone as 55% stated they could get easily get through in comparision to the CCG – 70%; national average - 71%.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice