Letter from the Chief Inspector of General Practice
Our previous comprehensive inspection at Dr Wignell and Partners (Windrush Surgery) on 03 October 2016 found breaches of regulations relating to the safe, effective and well-led delivery of services. The overall rating for the practice was requires improvement. Specifically, we found the practice to require improvement for provision of safe, effective and well led services. It was good for providing caring and responsive services. Consequently we rated all population groups as requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Dr Wignell and Partners on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 10 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 3 October 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.
We found the practice had made improvements since our last inspection. At our inspection on the 10 May 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is now rated as good. Consequently we have rated all population groups as good.
Our key findings were as follows:
- The practice had taken steps to improve governance framework and leadership structure.
- The practice had taken steps to improve the risks associated with the premises.
- There was an effective system in place for reporting and recording significant events and complaints. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Learning outcomes were identified and lessons learned were communicated effectively.
- Data showed the practice had demonstrated improvements in patient’s outcomes.
- All staff who acted as a chaperone had received a Disclosure and Barring Service (DBS) checks to keep patients safe and safeguarded from abuse.
- Staff we spoke with on the day of inspection was aware about a whistleblowing policy.
- Staff we spoke with informed us the management was approachable and always took time to listen to all members of staff.
- We found staff annual appraisals had not always completed in a timely manner. However, dates were planned to complete all appraisals by the end of June 2017.
In addition the provider should:
- Review and monitor the system in place to ensure all staff have received annual appraisals in a timely manner.
- Arrange repairs to fix the flooring in both treatment rooms.
- Improve the outcomes for patients with dementia.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice