Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection 02/12/2014 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Requires improvement
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 inspection at Derby Family Medical Centre on 15 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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The practice used information about care and treatment to make improvements. For example, they initiated a management plan where patients with diabetes whose condition was poorly controlled were invited for monthly reviews, resulting in improved engagement and outcomes for the patients.
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Staff involved and treated patients with compassion, kindness, dignity and respect. Most of the staff were bi-lingual and spoke the same languages as the majority of the patient population. An interpreter was available on site five days a week to provide translation services for Urdu and Punjabi speaking patients.
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The practice understood the needs of its population and tailored services in response to those needs. They worked closely with other practices in their area to provide a local hub pilot scheme providing pre-bookable appointments in the evenings and at weekends seven days a week.
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However, since our last inspection, patient survey results showed a continued reduction in patient satisfaction in relation to access to appointments. Plans to improve telephone access and changes made were yet to be embedded and patient satisfaction had not yet improved.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
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Consider security arrangements for prescription stationery to ensure it is securely stored.
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Continue to monitor and ensure improvement to national GP patient survey results particularly in relation to access to appointments , telephone access and patient experience.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice