Letter from the Chief Inspector of General Practice

We carried out a desk based focused inspection of The Wilson Practice on 15 July 2016. This inspection was undertaken to check the practice was meeting regulations. At our previous inspection on 5 February 2015, we found breaches of regulations relating to the safe delivery of services. At that time the practice was rated good for providing effective, caring, responsive and well-led services and requires improvement for safe. The practice was rated as good overall.

Following our review on 15 July 2016, we found the practice had made improvements since our last inspection on 5 February 2015 and we found the practice was meeting the regulations that had previously been breached.

Key findings:

• The practice had reviewed and made changes to infection control processes and ensured all staff had received appropriate training.

• The practice also reviewed arrangements for chaperoning and ensured all staff that carried out this role were competent. Signage on chaperoning was improved to ensure patients were aware that they could request a chaperone. The practice also reviewed the chaperone protocol which detailed how use of chaperones would be recorded.

We have amended the rating for safe to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. The practice remains rated as good overall.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Wilson Practice on 5 February 2015. Overall the practice is rated as good. Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services. It was also good for providing services for all the populations groups.

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

• The practice leads the local integrated care team “Rowan”, which covers approximately 30,000 patients and the four local practices. They were working closely with the whole team to look at new ways of providing healthcare to their population.
• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.
• Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• 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.
• Patients said they found it easy to make an appointment with a named GP and that 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.
• 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.

However, there were also areas of practice where the provider needs to make improvements.

The provider must:

Ensure staff received training to carry out their role, in particular infection control training and chaperone training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice