We used a number of different methods to help us understand the experiences of patients who used the service. We spent time talking with patients and observing interaction between staff and patients. We reviewed records and systems and looked at the environment and how this impacted on the service delivery.We spoke with seven patients who had attended the practice on the day of the inspection, one of which was the chair of the patient participation group (PPG). We spoke with the practice manager, the principal GP, a GP partner, a practice nurse, a receptionist and an attending district nurse and the medicines dispensing manager.
Patient's feedback told us that they were happy with the care and service provided by the practice. One patient said, 'It is really lovely here I cannot speak too highly of the place.'
Patients told us that their privacy and dignity was well respected, they had time to discuss their health care issues, and had been fully involved in making decisions about their care and treatment.
We looked at the processes that the practice had in place to ensure the patients were protected from abuse. These processes had not ensured that all staff received appropriate training on all safeguarding issues.
We looked at the arrangements the practice had in place for medicine management. This included the practice followed by the dispensing staff. Patients told us that prescriptions were provided in a timely fashion and, when medicines were prescribed any possible side effects were discussed. However, we found that not all risks had been assessed to ensure the safe management of medicines at all times.
People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.
Staff told us that they had training and development opportunities and they were well supported by the provider. We saw evidence of training undertaken and planned training.