Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection October 2014 rated overall as 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 Stovell House Surgery on 6 December 2017 as part of our regular inspection programme.
At this inspection we found:
- 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; however the practice did not record all significant events.
- The practice did not have a system to manage medicines and safety alerts.
- 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. The provider had not undertaken any completed clinical audits in the last two years.
- 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 focus on continuous learning and improvement at all levels of the organisation.
The areas where the practice must make improvements are:
- Ensure there is a system in place to receive, act and monitor the implementation of medicines and safety alerts
- Ensure all significant events are recorded and discussed for staff learning.
The areas where the provider should make improvements are:
- Have all medicines available to deal with a range of medical emergencies.
- Act on recommendations from legionella risk assessment.
- Undertake completed cycle clinical audits.
- Appropriate staff undertake Mental Capacity Act training.
- Undertake health checks for all patients with a learning disability.
- Improve the identification of carers.
- In response letters for complaints have all the necessary information for patients.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice