This practice is rated as Good overall. (Previous rating September 2015 – 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 Forbes Watson 19 June 2018 as part of our inspection programme.

At this inspection we found:

• 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 routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• The practice held an ‘open surgery’ on Friday afternoons to enable patients to meet their needs.
• Staff considered they were well supported and had access to appropriate training and development opportunities.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice worked with other GP practices in the area and across the wider geographical area to provide joined up services for patients.

Professor Steve Field CBE FRCP FFPH FRCGPChief 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 at Dr Forbes Watson on 17 September 2015. Overall the practice is rated as good.

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.

• 100% of children aged five had received all immunisations required.

• All patients over the age of five received new patient health checks and patients over the age of five received health checks.

• The practice offered a private travel vaccination service and only charged patients for the cost of the vaccination. It did not add any practice costs or make any profit from travel vaccinations.

• 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 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.

• More patients than average for the area and or nationally felt their GP was good at listening and gave them enough time ; patients had confidence and trust in the last GP they saw and said they were treated with care and concern.
• An open access clinic was held every Friday at 4pm so that patients could be seen before the weekend and staff told us that patients who attended were always seen.

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

Importantly the provider should

• Ensure that the policies, procedures and risk assessment for the chaperoning of patients are clear and consistent.
• Document action taken as a result of infection control audits.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice