Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive

inspection at the Dr Helen Osborn practice, more usually known as Courtyard

Surgery on 14 September 2016. Overall the practice is rated as requires

improvement.

Our key findings across all the areas we

inspected were as follows:

• There was an open and transparent approach to

  safety and a system in place for reporting and recording significant events.

• Risks to patients were assessed and well

  managed.

• Staff

  assessed patients’ needs and delivered care in line with current evidence based

  guidance. Staff had been trained to provide them with the skills, knowledge and

  experience to deliver effective care and treatment.

• Patients said they were treated with

  compassion, dignity and respect and they were involved in their care and

  decisions about their treatment.

• Patients 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.

• The practice had good facilities and was well

  equipped to treat patients and meet their needs.

• The provider was aware of and complied with

  the requirements of the duty of candour.

• There

  was a clear leadership structure and staff felt supported by management.

   

There was three areas where the provider must make

improvement:

• The practice must ensure they use quality improvement methods, including

  clinical audit, to monitor quality and to make improvements within the practice

  and ensure that learning from these is appropriately discussed and shared with

  practice staff.

• The practice must keep records of all essential training received by

  staff.

• Ensure actions plans are completed for issues identified an infection

  control audits.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

On

14 September 2016 we carried out a comprehensive inspection at Dr Helen Osborn,

which is also known as Courtyard Surgery. Overall the practice was rated as

requires improvement. Specifically, the practice was found to be good for

providing safe, caring and responsive services, and requires improvement for

effective and well led. We told the practice they must:

• Ensure

  actions plans are completed for issues identified in infection control audits.

• The

  practice must ensure they use quality improvement methods, including clinical

  audit, to monitor quality and to make improvements within the practice and

  ensure that learning from these is appropriately discussed and shared with

  practice staff.

• The

  practice must keep records of all essential training received by staff.

Following

the inspection the provider sent us an action plan that set out the changes

they would make and subsequently supplied information to confirm they had

completed the actions.

This

focused desk based inspection was undertaken on 25 April 2017 to ensure that

the practice was meeting the regulation previously breached. For this reason we

have only rated the location for the key questions to which this related. This

report should be read in conjunction with the full report of our inspection on 14

September 2016, which can be found on our website at

www.cqc.org.uk

.

The practice is now rated as good

for the provision of effective and well-led services. The overall rating is now

good. Our key findings were as follows:

• An

  infection control audit had been completed in January 2017 and an action plan

  set out follow up actions that had been completed.

• There

  had been four clinical audits completed since our inspection in September 2016.

• The

  practice had a planned schedule for audits and repeat audits.

• The

  practice was keeping records of all essential training received by staff.

The area where the provider should

make improvement are:

• Review

  the practice system of meetings and communications to ensure they meet the

  regulatory requirements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice