Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Nunn and Partners (also known as Filey Surgery) on 25 November 2014. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services that meet the needs of the population it served.

Our key findings were as follows:

• Patients who use the service were kept safe and protected from avoidable harm. The building was well maintained and clean.

• All the patients we spoke with were positive about the care and treatment they received. The CQC comment cards and results of patient surveys showed that patients were consistently pleased with the service they received. The practice had recruited an additional nurse to facilitate the development of care plans for patients over 75 years of age with complex needs.

• There was good collaborative working between the practice and other health and social care agencies that ensured patients received the best outcomes. Clinical decisions followed best practice guidelines.

• The practice met with the local Clinical Commissioning Group (CCG) to discuss service performance and improvement issues.

• There were good governance and risk management measures in place. The leadership team were visible and staff we spoke with said they found them very approachable.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

During our announced inspection we spoke with eight patients, two members of the patient participation group, the registered provider (Dr Shepherd), two GPs, the practice manager, dispensing technicians, two practice nurses, one health care assistant, and one reception member of staff.

Patients who received treatment at the practice told us they were very happy with the care and treatment they received and they had confidence in the staff. One patient told us “I can’t praise them enough. When my relative was sick and I had reached the end of my tether they came and sorted out extra care so that I could manage”. Another person told us “When I was ill I discussed my treatment options with my doctor who was very clear about the consequences of not having any treatment”.

Patients expressed their views and were involved in making decisions about their care and treatment. We saw that patients were given information and support with regards to treatment options and that staff maintained patient’s privacy and confidentiality.

Patients had their medications prescribed and dispensed at the time they needed them and in a safe way.

Staff had received appropriate professional development and training to ensure they could meet the needs of the people who used the service. Staff could tell us who they would contact if they had any concerns about child protection issues or abuse of patients. The practice had systems in place to assess and monitor the quality of the service that people received.