Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection October 2014 – Good)
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 Magnolia House on 8 November 2017. This inspection was carried out as part of our new phase of inspections, which commenced on 1 November 2017. The practice had previously been inspected in October 2014 and was rated as good overall and requires improvement for safe.
Our key findings were:
- The practice had systems in place to manage risk. However, these were not always consistently applied and we found concerns with patient group directions and patient specific directions, patient safety alerts processes and staff recruitment files.
- When incidents did happen, the practice learned from them and improved their processes.
- 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.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- 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:
- Ensure staff health needs are identified, reviewed and recorded so reasonable adjustments can be made, where necessary.
- Consider patient communication needs in regard to the accessible information standard.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice