Robert Frew Medical Partners in Wickford is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 3rd November 2017
Robert Frew Medical Partners is managed by Robert Frew Medical partners.
Contact Details:
Address:
Robert Frew Medical Partners Silva Island Way Wickford SS12 9NR United Kingdom
Letter from the Chief Inspector of General Practice
On 28 September 2016 we carried out a comprehensive inspection at Robert Frew Medical Partners. Overall the practice was rated as requires improvement. The practice was rated as inadequate in safe, requires improvement in effective and well-led, and good in caring and responsive.
As a result of that inspection we issued the practice with requirement notices in relation to Regulation 12, Safe care and treatment, Regulation 13, Safeguarding service users from abuse and improper treatment and Regulation 17 Good governance.
The practice submitted an action plan to detail the actions taken in relation to the requirement notices.
We then carried out an announced comprehensive inspection at Robert Frew Medical Partners on 17 October 2017. Overall the practice is rated as good.
Our key findings across all areas we inspected were as follows:
There was a system in place for reporting and recording significant events and improvements had been made which reflected that the provider complied with the requirements of the duty of candour.
From the sample of significant events that we reviewed we saw that staff were clear what constituted such events. The practice was open and transparent and we saw that staff from all areas of the practice were reporting and learning from significant events. Incidents were investigated, discussed and we saw evidence of learning to mitigate their reoccurrence.
Medicine alert information had been consistently actioned. The practice also demonstrated that patients receiving high risk medicines were audited regularly to ensure that the monitoring and reviews were in place.
Safeguarding arrangements had been established to enable clinicians to identify those patients potentially at risk. The practice was following up on vulnerable persons who had attended accident and emergency services or not attended their hospital appointments.
The practice was clean and tidy. The infection control lead had received appropriate training. Cleaning schedules were in place to evidence where, when and how the facility had been cleaned. There was an action plan in place and we saw that actions had been completed.
The practice were monitoring and recording the issue of prescription stationery within the practice.
Staff had undertaken appropriate recruitment checks including disclosure and barring service checks.
Risk assessments for health and safety, fire and legionella were in place.
Medicines and medical supplies that we checked were in date.
Data from the Quality and Outcomes Framework (QOF) showed patient outcomes were comparable or above average compared to the local and national averages.
There was a detailed locum induction pack in place for GPs.
Data from the national GP patient survey, published in July 2017 showed areas had improved since the survey results in 2016.
Where low levels of satisfaction were reported with the GPs the practice had held a meeting to discuss all the areas and put actions in place to improve.
The practice had identified carers and was working in partnership with social care professional to provide a drop-in advice service to patients.
The practice proactively sought feedback from patients, which it acted on. The patient participation group was active and told us the partners involved them and operated with transparency.
In addition the provider should:
Continue to seek and act on feedback from relevant persons and other persons on the services provided in the carrying on of the regulated activity, for the purposes of continually evaluating and improving such services.
Letter from the Chief Inspector of General Practice
On 28 September 2016 we carried out a comprehensive inspection at Robert Frew Medical Partners. Overall the practice was rated as requires improvement. The practice was rated as inadequate in safe, requires improvement in effective and well-led, and good in caring and responsive.
As a result of that inspection we issued the practice with requirement notices in relation to Regulation 12, Safe care and treatment, Regulation 13, Safeguarding service users from abuse and improper treatment and Regulation 17 Good governance.
The practice submitted an action plan to detail the actions taken in relation to the requirement notices.
We then carried out an announced comprehensive inspection at Robert Frew Medical Partners on 17 October 2017. Overall the practice is rated as good.
Our key findings across all areas we inspected were as follows:
There was a system in place for reporting and recording significant events and improvements had been made which reflected that the provider complied with the requirements of the duty of candour.
From the sample of significant events that we reviewed we saw that staff were clear what constituted such events. The practice was open and transparent and we saw that staff from all areas of the practice were reporting and learning from significant events. Incidents were investigated, discussed and we saw evidence of learning to mitigate their reoccurrence.
Medicine alert information had been consistently actioned. The practice also demonstrated that patients receiving high risk medicines were audited regularly to ensure that the monitoring and reviews were in place.
Safeguarding arrangements had been established to enable clinicians to identify those patients potentially at risk. The practice was following up on vulnerable persons who had attended accident and emergency services or not attended their hospital appointments.
The practice was clean and tidy. The infection control lead had received appropriate training. Cleaning schedules were in place to evidence where, when and how the facility had been cleaned. There was an action plan in place and we saw that actions had been completed.
The practice were monitoring and recording the issue of prescription stationery within the practice.
Staff had undertaken appropriate recruitment checks including disclosure and barring service checks.
Risk assessments for health and safety, fire and legionella were in place.
Medicines and medical supplies that we checked were in date.
Data from the Quality and Outcomes Framework (QOF) showed patient outcomes were comparable or above average compared to the local and national averages.
There was a detailed locum induction pack in place for GPs.
Data from the national GP patient survey, published in July 2017 showed areas had improved since the survey results in 2016.
Where low levels of satisfaction were reported with the GPs the practice had held a meeting to discuss all the areas and put actions in place to improve.
The practice had identified carers and was working in partnership with social care professional to provide a drop-in advice service to patients.
The practice proactively sought feedback from patients, which it acted on. The patient participation group was active and told us the partners involved them and operated with transparency.
In addition the provider should:
Continue to seek and act on feedback from relevant persons and other persons on the services provided in the carrying on of the regulated activity, for the purposes of continually evaluating and improving such services.
During our inspection we saw that reception staff were polite and welcoming to visitors to the surgery. We spoke with five people who used the service all of whom said they had been involved in decisions about their care and treatment. One person told us, “I feel very comfortable talking to my doctor. They listen to what I say. Decisions are left to me, but the GP supports me to make a decision.”
We spoke with three nurses who said that they updated clinical protocols every year to ensure they reflected up to date guidance and they followed these protocols when they provided care and treatment to people who used the surgery.
One GP told us, “The GP out of hours service uses the same computer system. You can easily check what happened with a patient when you return after the weekend.” We spoke with two professionals who staff at the surgery had referred people to. One professional told us, “Communication is excellent. I have an excellent rapport with all the staff.”
We spoke with one new member of staff who told us, “They’ve been fabulous. I have learnt so much, it has all been explained.” We saw that clinical staff had been given support in a range of ways including meetings, training and appraisals.
We saw that there was a process in place for analysing and learning from significant events and we saw examples of where this had been done well. However not all events had been reviewed in this way.
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