- GP practice
North Trafford Group Practice
All Inspections
5 January 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at North Trafford Group Practice on 19 January 2015. The overall rating for the practice was requires improvement because improvements were required in the safe and well led domains. The full comprehensive report of the January 2015 inspection can be found by selecting the ‘all reports’ link for North Trafford Group Practice on our website at www.cqc.org.uk.
This inspection was undertaken following a period to allow the practice to improve and was an announced comprehensive inspection which we carried out on 5 January 2017. Overall the practice is now rated as Good.
Our key findings were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- The practice had improved the systems they had in place to assess and manage risks to patients and these were now well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- 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. Improvements were made to the quality of care as a result of complaints and concerns.
- 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.
- Although they continued to have problems maintaining a stable workforce, there was a clear leadership structure and staff felt supported by management. The leaders were working together and proactively sought feedback from staff and patients to improve any concerns.
- The provider was aware of and complied with the requirements of the duty of candour.
We also saw areas where the practice should make improvements :
- The practice should continue to seek a stable workforce particularly in relation to nursing staff, fully identify and utilise all staff skills and improve communication through consistently documented meetings.
- The practice should continue to work towards better outcomes for people experiencing poor mental health (including people with dementia).
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
19 January 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at North Trafford Group Practice on 19 January 2015. Overall the practice is rated as requires improvement.
Specifically, we found the practice to be good for providing effective, caring and responsive services. It was also required improvement for providing services for all the population groups that we assess. It required improvement for providing safe and well led services.
Our key findings 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.
- Risks to patients were not always fully assessed and managed.
- People’s 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 was usually easy to make an appointment with their GP and that 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.
- The leadership structure was new and not yet embedded fully.
- Staff were not always fully supported and their feedback not routinely sought.
There were areas of practice where the provider needs to make improvements.
The areas where the provider must make improvements are:
- Ensure medication stock is appropriate and well monitored.
The areas where the provider should make improvements are:
- Ensure the level of nursing support is sufficient to meet the practice needs.
- Review equipment that is no longer used or has not been tested or calibrated.
- Ensure that clinical audit cycles are completed.
- Clarify leadership and the practice vision and embed amongst staff with more support for staff where required.