This practice is rated as good overall. (Previous rated, comprehensive inspection – 1 July 2015 – rating – 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
We carried out an announced comprehensive inspection at Doctors Quayle, Rajagopal, Payne and Fox on 17 October and 08 November 2018, as part of our inspection programme.
At this inspection we found:
- The practice had systems to keep patients safe and safeguarded from abuse.
- 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.
- The practice routinely reviewed the effectiveness and appropriateness of the care and treatment they provided. They ensured that care and treatment was delivered according to evidence- based guidelines.
- The service was very patient focussed and staff were committed to the delivery of high standards of care. This was supported by the outcome of the 2018 national GP Patient Survey, in which the practice performed higher than most of the local clinical commissioning group averages and all the national averages.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients could access care and treatment from the practice within an acceptable timescale for their needs.
- The provider’s strategies and supporting action plans for improving the care and treatment they provided were challenging and innovative.
- Effective governance arrangements were in place.
- There was a strong focus on continuous learning and improvement at all levels of the organisation. The practice actively used performance information to drive improvement.
The areas where the provider should make improvements are:
- In line with national guidance, maintain appropriate records of the distribution of pre-printed prescription form stock within the practice.
- Review the practice’s overall risk health and safety assessment, to make sure it covers all potential areas of risk and how they should be managed, including the reasons for not stocking suggested emergency medicines.
- Introduce a planned programme of clinical audit.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice