We carried out an announced comprehensive inspection at Dr C A Spooner and partners (also known as The Surgery @ Wheatbridge) on 31 January 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of good quality, person-centre care.

Whilst we found no breaches of regulations, the provider shoul

d:

• Review the practice training programme and encourage staff to complete appropriate training modules, and not just the practice’s mandatory training schedule.
• Complete the ongoing evidence collation of all staff vaccinations in line with PHE guidance.
• Develop further risk assessments to identify and control any potential or known risks.
• Ensure evidence of compliance for site-related issues is readily available from the contractor or landlord.
• The practice should aim to identify more carers and ensure they receive information about the support services available to them.
• The practice should review their approach to social prescribing schemes.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We inspected this service on 7 October 2014 as part of our new comprehensive inspection programme. The overall rating for this service is good.

Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services. We found the practice provided good care to older people, people with long term conditions and people in vulnerable circumstances. They provided good care to families, children and young people, working age people and people experiencing poor mental health.

Our key findings were as follows:

• Patients were kept safe because there were arrangements in place for staff to report and learn from key safety risks. The practice had a system in place for reporting, recording and monitoring significant events over time.

• The practice responded to the recent practice survey carried out by the Patient Participation Group (PPG) and as a result had implemented suggestions for improvements and made changes to the way it delivered services in response to feedback from them. These were to: update leaflets/patient brochures, update Wheatbridge PPG website (WPPG), update the practice website and add a list of Pharmacists to WPPG website.

• There were systems in place to keep patients safe from the risk and spread of infection. Systems were in place to monitor and make any required improvements.

• Evidence we reviewed demonstrated that the majority of patients were satisfied with how they were treated and that this was with compassion, dignity and respect. It demonstrated that the GPs were good at listening to patients and gave them enough time.

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

The provider should:

• Display appropriate warning sign on rooms containing oxygen.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice