Letter from the Chief Inspector of General Practice

This practice is rated as good overall (Previous inspection September 2015, rating – Good)

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 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 Castle Donington Surgery on 5 December 2017 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice fully investigated them, learned from them and implemented changes to improve their processes.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence- based guidelines and in line with identified patient needs.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• Feedback we received from patients on the day of our inspection was consistently positive about the service they received.

• Some results from the national GP patient survey published in July 2017 were lower than average in respect of access but the practice had implemented an action plan to address this.

• The system for monitoring prescription security was not effective but this was rectified following our inspection.

The areas where the provider should make improvements are:

• Ensure policies are reviewed and followed.

• Ensure the arrangements for monitoring prescription use which have been introduced are embedded.

• Ensure any actions arising from the scheduled legionella risk assessment are implemented.

• Ensure actions as a result of safety alerts received are logged as planned.

• Ensure the action plan relating to patient access is progressed and monitored.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr MF McGhee’s Practice (Castle Donington Surgery) on 9 September 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Information about safety was recorded, monitored, appropriately reviewed and any issues were addressed in a timely way. There was an effective system in place for reporting and recording significant events and complaints.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with care, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Urgent appointments were available on the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice