Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr CIW Buckley and Partners on 22 December 2015. Overall the practice is rated as good, this includes all the population groups.

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. Results from the national GP survey showed the practice was performing well above average on consultation with GPs and nurses.
• 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. Data from the national GP survey showed the practice was performing well above local and national averages for access to the practice.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• 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.

The areas where the provider must make improvement are:

• Ensure fridge temperature in the dispensary is monitored, implement system to monitor the use of prescription forms and ensure that repeat prescriptions are signed before medicines are dispensed to patients.

The areas where the provider should make improvement are:

• Ensure that meetings are thoroughly documented and minutes available.

• Ensure that risks to patients undergoing alcohol detoxification are assessed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

This practice is rated as Good overall. (Previous rating June 2016 – Good)

The key questions at this inspection 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 Frampton Surgery on 10 July 2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice was committed to the needs of the local community and were compassionate to patients on end of life care. For example, GPs gave their personal number to patients on end of life care and their families so they could access support when they needed it.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• The practice had identified alternative funding arrangements to support patients in difficult situations and promote health education in local schools.
• Feedback from patients and the patient participation group were positive about the service they had received.
• There was a focus on improvement at all levels of the organisation.

The areas where the provider

should

make improvements are:

• Monitor the recording of fridge temperatures, staff training and the undertaking of staff checks in the practice to ensure improvements are embedded.
• Review the governance arrangements to ensure management oversight and so that improvements are embedded in practice.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.