We carried out an announced comprehensive inspection at Dr R M Roope and Partners on 8 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. However, we rated Safe as Requires Improvement.

We rated the practice as Requires Improvement for providing safe services because:

• The practice did not consistently follow actions identified in their health and safety assessment.
• The practice did not demonstrate that safety systems kept people safe. For example, their fire risk assessment and health and safety risk assessments were not up to date as per their policy.
• Nurses did not participate in the governance arrangements to ensure learning from significant events. This had been identified at our last inspection and had not been acted upon.

We rated all population groups as Good apart from long term conditions which we rated as Requires Improvement.

We rated the practice as Good for providing effective, caring, responsive and well-led services because:

• 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 high-quality, person-centred care.
• The practice completed clinical audits to drive improvement for better patient outcomes.

The areas where the provider must make improvements are:

• Ensure that the premises used by the service provider are safe for their intended purpose and are used in a safe way.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Ensure that the complaints procedure is easily accessible to patients.
• Review governance arrangements relating to learning from significant events.
• Ensure that explanations for gaps in employment history are sought when recruiting new members of staff.
• Improve the identification of carers to enable this group of patients to access the care and support they need.

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 carried out a comprehensive inspection of Dr Roope and Partners, which is based at The Whiteley Surgery, Yew Tree Drive, Whiteley, Fareham, PO15 7LB on 18 December 2014.

The practice is a training practice for GPs.

Overall we rated the practice as good for safe, effective, caring, responsive and well led.

Our key findings were as follows:

• Patients were treated with dignity and respect.
• The practice were aware of concerns related to access to appointments and were working with the patient participation group to improve this.
• The practice was visibly clean and there were systems in place to maintain an appropriate standard of cleanliness and hygiene.
• GPs and nurses received appropriate training and support to deliver care and treatment.
• Suitable systems were in place to identify and protect patients at risk of harm.

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

In the provider should:

Ensure nurses participate in the governance arrangements of the practice where this affects their roles to ensure learning and improvement is effective.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice