22 October 2014
During a routine inspection
We completed a comprehensive inspection at Rough Hay Surgery on 22 October 2014. The overall rating for the practice is good. We found the practice to be good in the safe, effective, caring, responsive and well-led domains. We found the practice provided good care to people with long term conditions, families, children and young people, working age people, older people, people in vulnerable groups and people experiencing poor mental health.
Our key findings were as follows:
- Patients were protected from the risk of abuse and avoidable harm. The staff we spoke with understood their roles and responsibilities and there were policies and processes in place for safeguarding children and vulnerable adults.
- Patients received care and treatment to support good outcomes which promoted a good quality of life.
- Staff were caring and treated patients with dignity and respect.
- Patients were complimentary of the care and treatment that they received.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The practice sought feedback from staff and patients and this was acted upon.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
- Complete a risk assessment to ascertain if any action is required to ensure safety in relation to legionella (a germ found in the environment which can contaminate water systems in buildings).
- Review the staff group’s knowledge and understanding regarding the chaperone process to ensure it reflects the 2013 published General Medical Council (GMC) guidance for ‘Intimate examinations and chaperones’
- Review the current process and schedule for staff appraisals to ensure that all staff receives supervision and appraisals regularly.
Professor Steve Field CBE FRCP FFPH FRCGP