This practice is rated as Good overall. (Previous inspection - 21 April 2015: Rating 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

We carried out an announced comprehensive inspection at Dr P Taylor and Partners on 23 January 2019 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risks to patients and staff. When incidents occurred, the practice learned from them and improved their processes.
• The practice proactively monitored the effectiveness and appropriateness of the care it provided to ensure treatment was appropriate.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they could access care when they needed it.
• The practice continuously reviewed the needs of its patient population and adapted processes to improve services for its population.

We found area of outstanding practice:

• The practice used a clinical tool to identify older patients who were living with moderate or severe frailty. There was a multidisciplinary virtual assessment used to identify and plan for the care needs of patients who were frail and at risk of admission to hospital. This holistic approach enabled a number of professionals from health and social care backgrounds to undertake a thorough assessments at one time and therefore plan care at one point in time. We were provided with examples of two patients who had been repeatedly admitted to hospital. The virtual assessment and resulting plan has prevented further admissions.

There were areas where the provider should consider making improvements:

• Review the recording of staff information including training and registration with professional bodies.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hanham Surgery and Oldland Surgery on 21 April 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, well led, caring and responsive services. It was also rated good for providing services for the population groups.

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

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
• The practice used innovative and proactive methods to improve patient outcomes, working with other local providers to share best practice. For example, through the One Care Consortium.
• Patients said they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.

• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).

• The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand
• The practice had a clear vision which had quality and safety as its top priority. A business plan was in place, was monitored and regularly reviewed and discussed with all staff. High standards were promoted and owned by all practice staff with evidence of team working across all roles.

We saw areas of outstanding practice including:

• The practice had participated in training to access the local scheme Identification and Referral to Improve Safety (IRIS) for domestic violence against women.

However there were areas of practice where the provider needs to make improvements

Importantly the provider should

• Ensure that Drug misuse instalment prescriptions are checked and this is recorded on patient’s notes.
• Introduce a system to provide an audit trail for medicines used in the practice.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice