This practice is rated as Good overall. (Previous rating 19 March 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? – Requires Improvement

We carried out an announced comprehensive inspection at Partington Family Practice on 27 June 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice had 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. However, not all staff were aware of, and included in the process.
• 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. However, not all staff were aware of, and included in the process.
• Staff were caring and considerate to patients. Patients were involved in their treatment plans and were treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they could access care when they needed it.
• There was learning and improvement opportunities for all levels of staff.

The areas where the provider must make improvements are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief 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

This is the report of findings from our inspection of Dr DeWeever & Partners practice at Partington Health Centre, Central Road, Partington Manchester.

We carried out a comprehensive inspection on 26 January 2015. We spoke with patients, members of the patient participation group and staff, including the management team.

The practice was rated as good overall. A safe, caring, effective, responsive and well-led service was provided that met the needs of the population it served.

Our key findings were as follows:

• All staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal incidents were maximised to support improvement.
• Feedback from patients was on the whole positive; however patients told us there were problems with booking appointments with named GPs.
• We found an open culture and evidence that staff were motivated and inspired to provide kind and compassionate care. The leadership culture was open and transparent. We found high levels of staff satisfaction.
• The practice had a clear vision which had quality and safety as top priorities. This vision was shared by all the practice staff with evidence of team working across all roles.
• Patients told us they were treated with compassion, dignity and respect and they were involved in care and treatment decisions.
• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).

We saw several areas of outstanding practice including:

• All annual staff appraisals regardless of role included feedback from all other staff members, this process is known as 360 Degree appraisal.
• The practice was using the new Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) forms which are transferable across all health care areas.

In addition the provider should:

• Ensure there is an auditable system for reviewing and monitoring the recording of serial numbers on blank hand written prescriptions pads held in storage and once allocated to GPs.
• Ensure all clinical staff have access to an agreed protocol when they use and for the management of patients after use of nebulisers within the practice.
• Encourage all members of the multi-disciplinary team especially palliative care staff to attend practice meetings, where this is not possible ensure accurate minutes are circulated to staff who could not attend.
• Include reference to checks with the criminal records service through the Disclosure and Barring Service (DBS) within the practice recruitment policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice