Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kildonan House on 19 September 2016 Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• All staff employed by the practice had received an enhanced check with the Disclosure and Barring Service.
• 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.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their 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.

• The practice had recruited two part time pharmacists who carried out regular medication reviews to ensure safe and evidence based prescribing which included the reduction of inappropriate poly-pharmacy.

• 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 practice was fully committed to staff training.
• The provider was aware of and complied with the requirements of the duty of candour.
• The practice had a clear vision which was owned by all the staff team.

We saw one area of outstanding practice:

• The practice monitored patient demand throughout each day and added appointments as needed.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice