This practice is rated as Good overall. (Previous rating June 2015 – 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 Wonford Green Surgery on 13 November 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.
• 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 practice was working to relaunch its patient participation group through networking events in the local community. This included working with community builder staff and other professionals in this deprived area of Exeter.
• The practice used a system called WebGP where patients could contact their GP online. The number of patients was one or two contacts per week on average.

The areas where the provider should make improvements are:

The practice should review its protocols for the cleaning of fabric curtains around its treatment couches to ensure these were cleaned or changed in line with current infection prevention control guidelines.

The practice should review its arrangements for monitoring fridge temperatures during periods the practice is closed, in line with the Department of Health’s Green Book 2013.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

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

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Wonford Green Surgery 16 June 2015.

Overall the practice is rated as good. We found the practice to be good for providing safe, caring, responsive, effective and well led services. It was also good for the care provided to older people, people with long term conditions, families, children and young people, people living in vulnerable circumstances and people experiencing poor mental health (including people with dementia). They were good for the care and treatment they offered working aged people (including those recently retired) and people whose circumstances make them vulnerable.

Our key findings were as follows:

• Arrangements were in place to ensure patients were kept safe. The practice learnt when things went wrong and shared learning with all staff to minimise the risk of reoccurrence

• Patients’ needs were appropriately assessed and care and treatment was delivered in line with current legislation and best practice.

• We saw from our observations and heard from patients that they were treated with dignity and respect.

• 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 understood the needs of their patients and provided services that met their needs.

• The practice was well-led, had a defined leadership structure and staff felt supported in their roles.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice