This practice is rated as Good overall. The practice was previously inspected in May 2015, where the practice was rated as Good overall.
The key questions at this inspection are rated as:
Are services safe? – Requires Improvement
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 Woodlands Surgery at Eden House on 21 November 2018 as part of our inspection programme.
At this inspection we found:
- The practice had appropriate systems to safeguard children and vulnerable adults from abuse.
- We found the process for managing and storing emergency medicines was not always effective.
- 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.
- The practice had achieved a lower than average number of antibacterial prescription items prescribed per Specific Therapeutic group Age-sex Related Prescribing Unit.
- The practice’s uptake of cervical and breast cancer screening was below the local and national averages.
- Patients we spoke with and through comment cards received, spoke positively about the practice, the staff and the services offered.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was not an active patient participation group. The practice told us they were working to establish one.
- Administration and non-clinical staff were provided with a quarterly training morning. During this time, two GP partners operated the telephone lines to ensure all staff were provided with this opportunity.
The areas where the provider must make improvements are:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The areas where the provider should make improvements are:
- Ensure that registers of patients, such as carers and health checks, are correctly coded.
- Review and encourage uptake of the national screening cancer programme.
- Review and improve the uptake of childhood immunisations where needed.
- Review and improve the number of carers that the practice identifies and supports.
- Continue to develop and encourage patient participation at the practice.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.