We carried out an announced comprehensive inspection at OHP-The Dove Medical Practice on 20 February 2019.

At the last inspection in May 2018 we rated the practice as requires improvement for providing safe, responsive and well led services. The practice was rated good for providing effective and caring services. At this inspection the practice had made improvements in a number of areas however, patients ability to access the service in a timely manner required further improvement.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected

• information from our ongoing monitoring of data about services and

• information from the provider, patients, the public and other organisations.

We have rated this practice as good overall.

We rated the practice as requires improvement for providing effective care to population group working age people (including those recently retired and students) because:

•The practice did not have an effective system in place to follow up patients who did not attend for further investigation of their cervical screening test result.

We rated the practice as requires improvement for providing responsive services overall and across all population groups because:

•Patients were not always able to access timely care and treatment.

We rated the practice as good for providing safe, effective, caring and well led services because:

•The practice had adequate systems to manage most risks so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

•Care and treatment was delivered according to evidence based guidelines.

•Staff dealt with patients with kindness and respect and involved them in decisions about their care.

•There was a strong focus on continuous learning and improvement. Systems and processes were in place to support good governance.

The areas where the provider should make improvements are:

•Have appropriate risk assessments in place for staff who are unable to provide documentary evidence of vaccinations relevant to their role and in line with current Public Health England (PHE) guidance.

•Ensure comprehensive risk assessments are in place for the storage of hazardous substances for example, liquid nitrogen and chemicals used for cleaning.

•Ensure staff are trained on the use of the emergency fire evacuation chair.

•Have an effective in place to follow up patients who do not attend for further investigation of their cervical screening test result.

•Review how care and treatment for patients with a learning disability may be improved.

•Consider a formal process to evidence in house training and supervision for staff in advance roles.

•Continue to explore ways to improve access for patients.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice