This practice is rated as Good overall. (Previous inspection 09 July 2015 –Rated 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 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 Church View Surgery on 21 February 2018 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 learned from them and improved their processes.
• There were systems in place to maintain health and safety.
• 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. For example, standard for an audit was based on NICE guidance.
• Results from the national GP patient survey showed patients felt they were treated with compassion, dignity and respect.
• Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice was able to demonstrate a governance framework which supported the delivery of the strategy and good quality care.
• There was evidence that the practice had sought feedback and implemented changes to improve.

The areas where the provider should make improvements are:

• Ensure audits are complete to demonstrate quality improvement
• Consider accessibility of AED during clinic times.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Church View Surgery on 9 July 2015. Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for the older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances, and people experiencing poor mental health (including people with dementia).

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• The practice was clean and hygienic and had arrangements for reducing the risks from healthcare associated infections.
• There were systems in place to maintain the health and safety.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients said urgent appointments were available on the same day.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. However, waiting times for certain GPs were significantly longer at times.
• Information about services and how to complain was available and easy to understand.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

• Ensure all staff are aware of contingency plans in place
• Ensure arrangements are made to enable all GPs to run consultations on time.
• Ensure a current legionella risk assessment is in place and actions identified are followed.
• Ensure changes to appointment system are monitored to assess impact.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice