This practice is rated as Good overall. (Previous inspection October 2015 – 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 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 comprehensive inspection at Carisbrooke Health Centre on 20 March 2018, as part of our inspection programme.
At this inspection we found:
- 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 it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a focus on continuous learning and improvement at all levels of the organisation.
- The practice child safeguarding lead GP held monthly meetings with the School Nurse, the Health Visitor and the community learning disability team liaison to discuss any issues.
- The practice was equipped to deal with medical emergencies and staff were suitably trained in emergency procedures.
- End of life care was delivered in a coordinated way which took into account the needs of those whose circumstances may make them vulnerable.
The areas where the provider should make improvements are:
- Review the recording of the decision to not undertake a Disclosure and Barring Service check on some staff roles.
- Review the process for the approval of all Patient Specific Directions completed for health care assistants in relation to flu injections.
- Review how patients are informed of the practice’s complaints process, including how to contact the Parliamentary and Health Service Ombudsman.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice