We visited the Hardwicke House surgery to undertake our inspection. We did not visit the other surgeries as part of our inspection.We spoke with eleven people who used the surgery, all of whom advised us that they were involved in decisions regarding all aspects of their care and treatment. One person told us, 'The doctor listens to me.' One clinician we spoke with said, 'I support patients to make their decision by giving them information to make a decision.'
Care and treatment was described positively by the people we spoke with. One person said, 'The care that I have here has been very good.' Another person said, 'The receptionists are wonderful.'
We found shortfalls in that emergency medicines and equipment were kept in a publically accessible and unsupervised area of the surgery. We found that not all staff had training in cardiopulmonary resuscitation (CPR).
We spoke with three staff, all of whom had a good understanding of safeguarding. One clinician told us, 'If a relative does not have the person's best interests at heart, if it is affecting the person, then I would speak to the GP and maybe then social services.' We saw that some written guidance was in place for staff.
We looked at staff records. We saw that staff were supported but this was not always documented.
We saw that there was evidence that there was a process in place for investigating, responding to and learning from complaints and significant events.