Letter from the Chief Inspector of General Practice
This practice is rated as Good overall.
We last inspected the service in January 2015, when it was rated as good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Longrigg Medical Centre on 29 November 2017, as part of our inspection programme.
At this inspection we found:
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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. Staff described an open and honest ‘no blame’ culture so they felt confident in raising incidents.
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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.
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Staff involved and treated patients with compassion, kindness, dignity and respect, and patient feedback was in the most part positive.
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Patients reported that they were able to access care when they needed it.
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Information about the services provided, as well as how to raise any concerns or complaints, was accessible and easy to understand
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There was a strong focus on continuous learning and improvement at all levels of the organisation. Staff were supported in their professional development.
We saw one area of outstanding practice:
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Taking the lead with other locality practices and a local community charity, the practice had successfully received extra CCG funding and arranged the employment of a Community Link Worker, who was seconded to the practice. Patients could receive help to access services and activities such as counselling, advocacy and debt advice. The practice had made 158 referrals over a 12 month period.
The areas where the provider should make improvements are:
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Make shared policies and procedures, including safeguarding, and disciplinary and grievance procedures, easier for staff to access.
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Carry out yearly fire drills in accordance with the practice risk assessment.
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Carry out a risk assessment to determine the impact of not keeping paediatric defibrillator pads on the premises.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice