This practice is rated as Good overall. (Previous rating 06/11/2014 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Dr Pryke and Partners on 11 October 2018 as part of our inspection programme.

At this inspection we found:

• The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
• There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events. 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.
• The practice informed us that they had completed the appropriate safeguarding training and immunisation for staff. On the day of the inspection the practice were unable to evidence that these were in date. After the inspection, the practice provided evidence that safeguarding training was completed for most staff and training was in the process of being completed.
• The practice confirmed that all staff had completed their immunisations however they were unable to evidence this on the day of inspection. After the inspection, the practice sent us evidence that all immunisations had been completed. The practice confirmed that a new procedure was in the process of being implemented in line with current Public Health (PHE) guidance.
• There was clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse and for identifying and mitigating risks of health and safety.
• There were clear responsibilities, roles and systems of accountability to support effective governance.
• The practice worked proactively with other organisations to ensure patients had access to a range of services to support their health and wellbeing.
• Staff involved treated patients with compassion, kindness, dignity and respect.
• The practice responded to complaints in a timely and open manner.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Develop an effective system to record, monitor and track the immunisation status of staff members in line with Public Health England (PHE) guidance .
• Continue to monitor and review the uptake for cervical screening.
• Review systems to ensure that all staff remain up to date with the practice’s mandatory training.
• Continue to monitor patient satisfaction rates particularly in relation to access to services.

Professor Steve Field

CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 6 November 2014.

We have rated this practice as ‘good’ overall. We found the practice to be ‘good’ in the safe, effective, caring, responsive and well-led domains. We found the practice provided good care to older people; people with long term conditions; families, children and young people; the working age population and those recently retired; people in vulnerable circumstances and people experiencing poor mental health.

Our key findings were as follows:

• Every patient we spoke with was positive about the care they received. They told us they were treated with kindness, consideration and respect by all staff.

• The care and treatment provided by Dr Pryke and Partners was safe overall. However some systems to ensure that everyone learned from significant events at the practice were not being used as stated in the practice policy.

• GPs audited the care and treatment they provided to ensure that patients received high quality care which was compatible with the latest guidance for GPs.

• Staff understood the needs of their patient population. They used social prescribing to improve the overall well-being of their patients.

There were areas of practice where the provider should make improvements. They should:

• Review policies and procedures to ensure that complaints and significant events are escalated and followed up consistently and appropriately and that subsequent learning is disseminated to all relevant staff.

• Ensure all staff appraisals are undertaken in a thorough and consistent way.

• Review the use of manual record keeping for patients with a learning disability who attended health reviews. This did not support robust monitoring.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice