21 April 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Nursery Lane Surgery on 21 April 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services for all the population groups. It required improvement for providing safe services.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- Staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- Risks to patients were not always assessed and well managed. The practice did not have an infection control audit or fire assessment completed in the last 12 months.
- Not all staff were aware who took the lead for infection control.
The areas where the provider must make improvements are:
- Ensure an infection control audit is completed and action plan implemented in accordance with the findings.
- Ensure a fire assessment of the premises is completed and action plan implemented in accordance with the findings.
In addition the provider should:
- Review the storage of medicines to ensure they are stored safely and securely and a stock list is kept.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice