Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous comprehensive inspection 01 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 The Barton House Group Practice on 20 November 2017. The practice was previously inspected in October 2015. All key questions and population groups were rated as good and this inspection was to ensure that the practice were maintaining standards. At that inspection there were no areas identified that the provider needed to improve.
At this inspection we found:
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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.
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The practice proactively sought feedback from staff and patients, which it acted on.
- There was a clear leadership structure and staff felt supported by management.
- The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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Staff involved and treated patients with compassion, kindness, dignity and respect, although we did observe the potential for privacy to be compromised when patients discuss appointments or other issues at reception.
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The practice had clear systems to manage risk so that safety incidents were less likely to happen, although there were actions to follow up in respect of fire and health and safety risk assessments and the frequency of the electrical fixed installation should be verified. When incidents did happen, the practice learned from them and improved their processes.
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There was a strong focus on continuous learning and improvement at all levels of the organisation. The level of child safeguarding training that staff had achieved was not clear.
- We found the practice had not clearly displayed its previous inspection ratings but they confirmed they had experienced technical problems with doing this but would try and remedy without delay.
The areas where the provider should make improvements are:
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Review the risk assessments carried out for fire and health and safety and follow up any outstanding actions and the frequency of the electrical fixed installation testing should be verified.
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Review the reception area privacy arrangements.
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Review display of the CQC rating on the practice website.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice