This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Requires improvement

Are services well-led? - Good

We carried out an announced comprehensive inspection at OHP-Reservoir Road Surgery on 12 July 2018. The practice last received a comprehensive inspection under the previous provider on 5 September 2017 and received an overall rating of good with requires improvement for providing effective services. We carried out this inspection to follow up progress made by the practice since our previous inspection in September 2017 and to ensure the legal requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were being met.

The current provider of this practice registered with CQC in September 2017. This is the first inspection under the current registration.

At this inspection we found:

• The practice had effective systems to keep people safe and safeguarded from abuse.
• There were effective systems in place to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them.
• The practice reviewed the effectiveness and appropriateness of the care it provided. It delivered care and treatment according to evidence-based guidelines. Although there were some areas in need of improvement such as hypnotic prescribing.
• Patient outcomes were mostly in line with local and national averages and action was being taken to improve areas where they were not.
• The practice participated in improvement activity such as clinical audits however the impact of these was not always clearly demonstrated.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients feedback was mixed in relation to access to appointments. Changes made had yet to be evaluated for their effectiveness.
• The practice was aware of future challenges including succession planning and immediate leadership of the practice which they were starting to address.

The areas where the provider should make improvements are:

• Review emergency equipment to ensure they are appropriately stored and sealed and fit for use and that there is appropriate signage for the location of oxygen.
• Review training needs of non-clinical staff so that they are better equipped to identify deteriorating or acutely unwell patients.
• Improve the uptake of health reviews for patients with a learning disability, outcomes for patients with poor mental health and in relation to hypnotic prescribing.
• Review and take action to improve the uptake of cervical screening.
• Review the use of clinical audit and consider how it may more effectively support service improvements.
• Improve the monitoring and supervision arrangements for the Ears, Nose and Throat service.
• Improve systems for obtaining patient feedback in order to identify areas for improvement and for evaluating service provision.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.