Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Chevin Medical Practice on 7 October 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice had successfully applied to provide Ear Nose and Throat and Dermatology services in the community.

• The practice had introduced a dedicated team to manage the 2% of patients who were vulnerable or housebound and at risk of an unplanned hospital admission.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We noted two areas of outstanding practice:

• The practice had successfully applied to provide Ear Nose and Throat and Dermatology services in the community. This enabled patients to access specialist care closer to home.Clinicians from the practice visited local schools to give talks about sexual health and contraception.

The areas where the provider should make improvement are:

• Appoint a clinician to lead on IPC and carry out relevant audits, to supplement the role played by the practice manager.
• Keep a log of emergency equipment checks to provide reassurance that these have been carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We reviewed the information available to us about Chevin Medical Practice on 30 April 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.