This practice is rated as Good overall. (Previous inspection 29 October 2014– 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 Dr Andreas Tobias Keyser’s practice (also known as Albion Surgery) on 26 March 2018 as part of our routine inspection programme.

At this inspection we found:

• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.

• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• Care Quality Commission (CQC) comment cards reviewed indicated that patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• Results from the national GP patient survey from July 2017 showed that patients’ satisfaction with how they could access care and treatment was in line with local and national averages. Urgent appointments were available the same day.
• 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 the requirements of the duty of candour.

The areas where the provider should make improvements are:

• Update the patient information leaflet on how to make a complaint to include who patients can complain to if they do not wish to complain directly to the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

This is the report of findings from our inspection of Dr Andreas Tobias Keyser’s Practice, also known as Albion Surgery. Our inspection was a planned comprehensive inspection, which took place on 29 October 2014. Dr Keyser delivers services under a Primary Medical Services contract.

The service provided by Dr Keyser is rated as ‘Good’.

Our inspection showed all aspects of care and treatment were safe, effective, caring, responsive and well-led.

Our key findings were as follows:

• Clear systems and procedures to protect and maintain patient safety were in place at the practice.
• Safeguarding protocols were adhered to. Practice staff researched and checked information for accuracy. Updated information was accessible to all clinicians, including GPs on training placement with the practice. All patients connected to the safeguarded child or vulnerable adult were identified and this was mapped and recorded in a chart. This was reviewed and updated regularly. This mapping gave information ‘at a glance’ to other clinicians that shared the building, for example district nurses and health visitors.
• Prescribing followed best practice guidance and was 4.5% under budget in 2013-14.
• The practice worked innovatively with other organisations in the community to secure the very best outcomes for patients
• Our intelligent monitoring data was mirrored by patients we spoke with who told us the service was very caring.
• The practice was well-led.  All staff were engaged with the vision and values of the practice.

We saw one area of outstanding practice.

• The practice worked with other community agencies to secure quality outcomes for patients. One example we saw included patients given a prescription for advice from benefits advisers and debt counsellors, which addressed reasons for their anxiety around financial problems. We could see that these advice sessions identified that some patients had not been receiving their full benefit entitlement, and work was done quickly to address this, which represented a further positive outcome for the patient.

The provider should:

• Review best practice in relation to responding to a medical emergency, in particular the availability of oxygen.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice