Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at MWH Practice on 21 June 2016. Overall the practices 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 been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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.
• 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 should make improvement are:

• Review GP National Patient Survey results to improve scores relating to access and their involvement in planning and making decisions about their care and treatment.

• Should ensure they maintain all arrangements for managing emergency equipment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We spoke with ten people using the service, the principal GP, the practice manager, a practice nurse and three members of the practice’s Patient Participation Group. The people we spoke with all told us they were very satisfied with the services they received. Their comments included “it’s an excellent practice. The doctors always take time to make sure you understand your treatment” and “very, very good. My whole family come here and we’ve never had any complaints.”

People also told us they were given enough information to make decisions about their care and treatment.

Staff working in the practice understood the local arrangements for safeguarding children and adults using the service and had been trained to recognise possible abuse.

The provider carried out checks when appointing new staff to work in the practice.

The provider had procedures monitoring the quality of services provided to people using the 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 The MWH Practice on 6 June 2016. The overall rating for the practice was good. The full comprehensive report can be found by selecting the MWH Practice ‘all reports’ link for on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 29 November 2018. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014 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.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Consider providing a moveable shield around the bed in the nurses room to provider more privacy in addition to the curtain rail that is already in use.

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

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice