Letter from the Chief Inspector of General Practice
This practice is rated as good overall. (Previous inspection May 2016 – Good)
The key questions are rated as:
Are services safe? – Good
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 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 Stubbington Medical Practice on 8 January 2018, 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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Care and treatment was delivered according to evidence- based guidelines.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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The practice understood the needs of its population and tailored services in response to those needs. For example extended opening hours, online services such as repeat prescription requests, advanced booking of appointments, advice services for common ailments. Weekly prescriptions were used for patients who were at risk of over-using medicines. A dedicated member of the prescription team worked with care homes and the clinical commissioning group pharmacist to monitor and reduce polypharmacy, prevent errors and improve efficiency.
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Annual reviews were offered for patients who had a learning disability. A GP acted as a link person for patients with learning disabilities who were living in care homes and would offer home visits if needed.
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Innovation and improvement was a priority among staff and leaders:
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For example the practice had introduced home visits by one of the practice nurses in March 2015 at the time of this inspection this was on two days a week. Additionally the practice had introduced Friday visits to care homes to proactively review patients to avoid unnecessary hospital admissions over the weekends.
The areas where the provider should make improvements are:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice