We carried out an announced comprehensive inspection at Dr William Littler on 05 August 2015. Overall the practice is rated as good.

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

• Staff knew and carried out their obligation to raise concerns, and to report safety incidents. Information about safety was recorded, and monitored appropriately although not reviewed regularly to identify any trends or recurring themes.

• Risks to patients were assessed and well managed but not reviewed regularly to undertaken or identify any trends or recurring themes.

• Patients’ requirements were considered and care was planned and provided in a way that followed best practice and current clinical guidance.

• Staff had received training applicable to their roles and further training needs had been recognised and planned.

• Patients told us they were treated with consideration, dignity and respect and they were involved in their care and decisions about their treatment.

• Information regarding how to complain about practice services was available and easy to understand.

• Patients indicated in the national patient survey that they found it easy to make an appointment with a named GP and they had continuity of care, with urgent appointments accessible on the day requested.

• The practice was suitably equipped to treat patients and meet their needs.

• There was a clear leadership structure and staff felt supported by management.

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

Importantly the provider should

• Review of all safety incidents and complaints should be undertaken to identify any trends or recurring themes.

• Seek feedback from patients, to obtain their views with regard to where services might be improved.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice