Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 21 January 2016. 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.
• 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.

Areas of outstanding practice:

• The care was delivered from a family perspective with a dynamic team.
• The practice was working with other local practices and the community nursing team to actively support and mange people living in care and nursing homes to avoid unplanned admissions into hospital.
• The practice was working seven days a week to ensure continuity of care for its patients.
• There was a good supportive environment for staff with a positive atmosphere.
• Deep vein thrombosis (DVT) clinics conducted at the practice for all referred patients (including patients registered with other practices). This service provided local clinics within a quick timescale and reduced the number of admissions into the local hospital.
• Good use of a locum induction pack that contained a comprehensive list of information and checks that were performed before any locum was used.
• Each GP and senior member of staff had defined clinical responsibilities in different areas such as safeguarding, elderly care and information governance.

The areas where the provider should make improvements are:

• Audit the prescription paper and pads to ensure the stock is accounted for.
• Consider the seating in the reception area for people with mobility issues.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We reviewed the information available to us about Library House Surgery on 13 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.