This practice is rated as Requires Improvement overall. (Previous inspection 06/2017 – Inadequate).
The key questions are rated as:
Are services safe? – Good
Are services effective? – Requires Improvement
Are services caring? – Requires improvement
Are services responsive? – Requires Improvement
Are services well-led? – Requires Improvement
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 – Requires Improvement
People with long-term conditions – Requires Improvement
Families, children and young people – Requires Improvement
Working age people (including those recently retired and students – Requires Improvement
People whose circumstances may make them vulnerable – Requires Improvement
People experiencing poor mental health (including people with dementia) - Requires Improvement
As a result of the inspection in June 2017 a warning notice was served and the practice had been placed into special measures in September 2017. The practice was re inspected in October 2017 to follow up on the warning notice and was found to have completed the requirements of the notice.
We carried out an announced comprehensive inspection at Chessel Practice on 20 February 2018 to check that sufficient improvements had been made to bring the practice out of special measures and improve the rating from Inadequate.
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 learnt 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 were delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system was not easy to use and reported that they were not always able to access care when they needed it.
- All staff received up-to-date safeguarding and safety training appropriate to their role.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was a focus on continuous learning and improvement at all levels of the organisation.
- There was a system for receiving and acting on safety alerts. The practice learned from external safety events as well as patient and medicine safety alerts.
The areas where the provider should make improvements are:
- Continue to review the care and treatment offered for all patients with long term conditions such as demonstrated through the Quality and Outcomes Framework results.
- Review the patient experience and take account of feedback such as the national GP patient survey results.
This service was placed in special measures in September 2017. We found that the practice had improved when we undertook the follow up inspection on 20 February 2018
However, the practice needs time to ensure that there is more evidence that the improvements are embedded properly and that the improvements are sustained.
I am taking this service out of special measures. This recognises the improvements made to the quality of care provided by the service.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice