Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Teotia and Partners on 17 January 2017. The overall rating for the practice was good but specifically requiring improvement in the provision of caring services. The full comprehensive report on the January 2017inspection can be found by selecting the ‘all reports’ link for Green Lane Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 6 September 2017 to confirm that improvements had been made since our previous inspection on 17 January 2017. This report covers our findings in relation to those improvements made since our last inspection.

Overall the practice is rated as good and the provision of caring services is now also rated as good.

Our key findings were as follows:

• The practice had improved their external survey results and conducted their own internal survey to review and monitor performance in relation to patients’ experience of the service.
• Privacy and confidentiality arrangements had been improved with an audio feed being added to the information screen in the reception area.

As part of the inspection on 17 January the practice was also asked to consider further improvements and we saw evidence that:

• A system was now in place to make sure the material curtains in the consulting room are cleaned at least once every six months. Records were seen to evidence this.
• A robust system was now in place for monitoring the use of prescription forms and pads and for recording serial numbers and locations of blank prescriptions.
• Photographic identification was now available for all staff and was kept in the recruitment files.

Work had continued in exploring ways of identifying and meeting the needs of patients experiencing poor mental health (including patients with dementia). Specifically, the practice has been more proactive in using screening tools and templates which are linked to the clinical system, as well as opportunistically screening other patients with long term conditions to see whether they are experiencing poor mental health as a result of those long term conditions.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Teotia and partners on 17 January 2017. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Data from the national GP patient survey showed patients rated the practice lower than others for aspects of care, including being treated with care and concern and being involved in decisions about care. The provider had an action plan to improve performance in these areas.
• 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 managed. Some further risks were identified as part of the inspection and the provider was taking action to reduce these risks.
• 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.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• 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.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

• Put in place a system to make sure the material curtains in the consulting room are cleaned or changed at least once every six months.
• Put in place a system for monitoring the use of prescription forms and pads.
• Make available proof of identity including a recent photograph for recruitment files.
• Continue to consider further ways of identifying and meeting the needs of patients experiencing poor mental health (including patients with dementia).
• Review patient privacy arrangements in the reception area.
• Continue to review and monitor performance in relation to patients’ experience of the service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice