- GP practice
Archived: Selston Surgery
Important:
The provider of this service changed. See new profile
All Inspections
23 February 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Selston Surgery on 14 July 2015. The overall rating for the practice was good however the practice was rated as requires improvement for providing safe services. The full comprehensive report on the July 2015 inspection can be found by selecting the ‘all reports’ link for Selston Surgery on our website at www.cqc.org.uk.
This inspection was undertaken and was an announced comprehensive inspection on 23 February 2017. Overall the practice is now rated as good.
Our key findings were as follows:
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A system was in place for acting on patient safety alerts and we found significant events were reported, recorded and investigated.
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Lessons learnt were recorded as a result of incidents however these were only discussed with staff involved until the annual review.
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Staff had the skills, knowledge and experience to deliver effective care and treatment.
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There was evidence of appraisals and personal development plans for all staff. However, the staff had not had an appraisal in the last 12 months. This had been identified by the practice and plans were in place for these to be booked.
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Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs.
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We observed staff members were courteous and very helpful to patients and treated them with dignity and respect.
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Patients could access telephone consultations and a ‘drop in’ service for minor issues, where an appointment was not required, between 8am and 9.30am Monday to Friday. They could also access a walk in service on a Wednesday evening from 6.30pm to 8.30pm, and Saturday mornings from 9am to 12.30pm at a nearby Health Centre, which was run by local GPs.
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Feedback from residential homes included that the reception staff were helpful, courteous and polite.
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The provider was aware of and complied with the requirements of the duty of candour.
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The practice encouraged and valued feedback from patients, the public and staff.
- The practice had a patient participation group which was actively involved in patient education and improvement work in liaison with practice staff.
The areas where the provider should make improvement are:
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Consider adding governance agenda items to staff meetings such as significant events, safety alerts, NICE guidance and audit, to ensure that these are always shared with all staff.
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Consider reviewing the storage of policies and procedures to make them more accessible to staff.
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Safeguarding meetings should be formalised with minutes for information to those unable to attend, such as health visitors.
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Continue to book and carry out appraisals on an annual basis.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
14 July 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Selston Surgery on 14 July 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing effective, caring, responsive and well-led services. It was also rated as good for providing services for the six population groups. It required improvement for providing safe services.
Our key findings across all the areas we inspected were as follows:
- Feedback from patients was continually positive about the care and treatment they received, and the way staff treated them. They said that they were treated with kindness, dignity and respect.
- Patients were able to access care and treatment when they needed it, and could access appointments and services in a way, and at a time that suited them.
- The practice was accessible and well equipped to meet patients’ needs.
- There was a holistic approach to meeting patients’ needs. The practice had strong links with other providers and organisations to aid communication, and multidisciplinary working to meet patients’ needs.
- Overall, systems were in place to keep patients safe and to protect them from harm. The recruitment procedures have been strengthened to ensure that all staff working at the practice were suitable to carry out the duties required of them.
- Patients felt listened to and able to raise concerns about the practice. Concerns were acted on to improve the service.
- There were high levels of engagement with patients and the patient participation group (PPG) to improve the services. The PPG was actively involved in the planning and delivery of services.
- There was an open, positive and supportive culture.
- The practice had a motivated and experienced team; staff were supported to develop their knowledge and acquire new skills. However we found that not all staff had been assessed as competent to carry out all tasks delegated to them.
- The services were well-led. Overall, systems were in place to assess and monitor the quality and safety of services that people received.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider must
Ensure that all staff providing care or treatment to patients have the qualifications, competence, skills and experience to do so safely.
Also, the provider should
Strengthen the systems for monitoring the service including recruitment procedures and checks to ensure the defibrillator is working.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice