Robert Frew Medical Partners …

1 ,informationfromourongoingmonitoringofda taaboutservicesandinformationgiventousfr omtheprovider,patients, Areservicessafe?Good Areserviceseffective?Good Areservicescaring?Good Areservicesresponsivetopeople sneeds?Good Areserviceswell-led?Good RRobertobertFFrreewwMedicMedicalalPPartn erartnerssQualityReportSilvaIslandWay,Sa lcottCrescent,Wickford,Essex,SS129 NRTel:01268209229 :17 October2017 Dateofpublication:Thisisauto-populatedwh enthereportispublished1 Robert Frew Medical Partners Quality Report This is auto-populated when the report is publishedContentsPageSummaryofthisinspec tionOverallsummary 2 Thefivequestionsweaskandwhatwefound 4 Thesixpopulationgroupsandwhatwefound 7 Whatpeoplewhousetheservicesay

2 10 Areasforimprovement 10 DetailedfindingsfromthisinspectionOurins pectionteam 11 BackgroundtoRobertFrewMedicalPartners 11 Whywecarriedoutthisinspection 11 Howwecarriedoutthisinspection 11 Detailedfindings ,requiresimprovementineffectiveandwell-l ed, ,Safecareandtreatment,Regulation13, : Therewasasysteminplaceforreportingandrec ordingsignificanteventsandimprovementsha dbeenmadewhichreflectedthattheproviderco mpliedwiththerequirementsofthedutyofcand our.

3 ,discussedandwesawevidenceoflearningtomi tigatetheirreoccurrence. Safeguardingarrangementshadbeenestablish edtoenableclinicianstoidentifythosepatie ntsSummary of findings2 Robert Frew Medical Partners Quality Report This is auto-populated when the report is , Thepracticeweremonitoringandrecordingthe issueofprescriptionstationerywithinthepr actice. Staffhadundertakenappropriaterecruitment checksincludingdisclosureandbarringservi cechecks. Riskassessmentsforhealthandsafety,firean dlegionellawereinplace. Medicinesandmedicalsuppliesthatwechecked wereindate. DatafromtheQualityandOutcomesFramework(Q OF)showedpatientoutcomeswerecomparableor aboveaveragecomparedtothelocalandnationa laverages. Therewasadetailedlocuminductionpackinpla ceforGPs. DatafromthenationalGPpatientsurvey,publi shedinJuly2017showedareashadimprovedsinc ethesurveyresultsin2016.

4 Wherelowlevelsofsatisfactionwerereported withtheGPsthepracticehadheldameetingtodi scussalltheareasandputactionsinplacetoim prove. Thepracticehadidentifiedcarersandwaswork inginpartnershipwithsocialcareprofession altoprovideadrop-inadviceservicetopatien ts. Thepracticeproactivelysoughtfeedbackfrom patients, : Continuetoseekandactonfeedbackfromreleva ntpersonsandotherpersonsontheservicespro videdinthecarryingonoftheregulatedactivi ty, (CBEFRCPFFPHFRCGP)ChiefInspectorofGenera lPracticeSummary of findings3 Robert Frew Medical Partners Quality Report This is auto-populated when the report is Therewasasysteminplaceforreportingandrec ordingsignificanteventsandimprovementsha dbeenmadewhichreflectedthattheproviderco mpliedwiththerequirementsofthedutyofcand our. ,discussedandwesawevidenceoflearningtomi tigatetheirreoccurrence.

5 , Areserviceseffective?Thepracticeisrateda sgoodforprovidingeffectiveservices. DatafromtheQualityandOutcomesFramework(Q OF)showedpatientoutcomeswerecomparableor aboveaveragecomparedtothelocalandnationa laverages. Therewasadetailedlocuminductionpackinpla ceforGPs. Staffwereawareofcurrentevidencebasedguid anceandusedthistorefertoandtoplanaudits. Clinicalauditsdemonstratedqualityimprove ment. Summaryoffindings4 Robert Frew Medical Partners Quality Report This is auto-populated when the report is published Therewasevidenceofappraisalsandpersonald evelopmentplansforallstaff. Staffworkedwithotherhealthcareprofession alstounderstandandmeettherangeandcomplex ityofpatients DatafromthenationalGPpatientsurvey,publi shedinJuly2017showedareashadimprovedsinc ethesurveyresultsin2016.

6 Informationforpatientsabouttheservicesav ailablewasaccessible. Wesawstafftreatedpatientswithkindnessand respect,andmaintainedpatientandinformati onconfidentiality. Areservicesresponsivetopeople sneeds?Thepracticeisratedasgoodforprovid ingresponsiveservices. Thepracticeunderstooditspopulationprofil eandhadusedthisunderstandingtomeetthenee dsofitspopulation. ThepracticeofferedextendedhoursonaWednes dayeveningandaSaturdaymorningforworkingp atientswhocouldnotattendduringnormalopen inghours. Thepracticehadgoodfacilitiesandwaswelleq uippedtotreatpatientsandmeettheirneeds. Areserviceswell-led?Thepracticeisratedas goodforbeingwell-led. Thepracticehadaclearvisionandstrategytod eliverhighqualitycareandpromotegoodoutco mesforpatients. Therewasaclearleadershipstructureandstaf ffeltsupportedbymanagement.

7 Therewereappropriatearrangementsforident ifying,recordingandmanagingrisks, Summaryoffindings5 Robert Frew Medical Partners Quality Report This is auto-populated when the report is published Thepracticemanagerhadfulloversightofrisk sandallstaffwithinthepracticewereawareof theneedforidentifyingandrecordingsignifi canteventstoidentifypotentialrisks. Theproviderwasawareoftherequirementsofth edutyofcandour. Frew Medical Partners Quality Report This is auto-populated when the report is Thepracticeworkedaspartofanintegratedcar eteamandmadereferralstospecialisthealtha ndsocialcareprovisionviathesinglepointof contactteam. Thepracticeoperatedmultidisciplinaryteam workingandheldpalliativecaremeetingsbimo nthly Thepracticewasestablishingdrop-insession swithasocialworkertosupportcarers.

8 Thepracticewasresponsivetotheneedsofolde rpeople, PeoplewithlongtermconditionsThepracticei sratedasgoodforthecareofpeoplewithlong-t ermconditions. Nursingstaffhadleadrolesinchronicdisease managementandpatientsatriskofhospitaladm issionwereidentifiedasapriority. Longerappointmentsandhomevisitswereavail ablewhenneeded. ,theGPworkedwithrelevanthealthandcarepro fessionalstodeliveramultidisciplinarypac kageofcare. Thepracticenursesspecialisedinthemanagem entofchronicdiseaseandwereabletoinitiate insulintherapyfordiabeticpatients. Families,childrenandyoungpeopleThepracti ceisratedasgoodforthecareoffamilies, Summaryoffindings7 Robert Frew Medical Partners Quality Report This is auto-populated when the report is published WednesdayeveningandSaturdaypre-bookablea ppointmentswereavailable.

9 ,childrenandyoungpeoplewhohadahighnumber ofA&Eattendances. Immunisationrateswerehighforallstandardc hildhoodimmunisations. Thepracticeofferedcontraceptiveadvicefor patients. suptakeforthecervicalscreeningprogrammew as85%,whichwascomparablewiththeCCGaverag eof82%andthenationalaverageof81%.Working agepeople(includingthoserecentlyretireda ndstudents)Thepracticeisratedasgoodforth ecareofworking-agepeople(includingthoser ecentlyretiredandstudents). Thepracticehadadjustedtheservicesitoffer edtoensurethesewereaccessible, ,providingextendedopeninghoursonceaweeka ndpre-bookableappointmentsonaSaturday. Thepracticeofferedonlineservicesaswellas afullrangeofhealthpromotionandscreeningt hatreflectedtheneedsforthisagegroup. Peoplewhosecircumstancesmaymakethemvulne rableThepracticeisratedasgoodforthecareo fpeoplewhosecircumstancesmaymakethemvuln erable.

10 Thepracticeheldaregisterofpatientsliving invulnerablecircumstancesincludingtravel lersandthosewithalearningdisability. Thepracticeofferedlongerappointmentsforp atientswithalearningdisability. Thepracticeregularlyworkedwithotherhealt hcareprofessionalsinthecasemanagementofv ulnerablepatients. Staffweretrainedinmeetingthediverseneeds oftheirpatientsforexampleattendinganawar enesscourseontravellingcommunities. Summaryoffindings8 Robert Frew Medical Partners Quality Report This is auto-populated when the report is published , (includingpeoplewithdementia)Theprovider wasratedasgoodforthecareofpeopleexperien cingpoormentalhealth(includingpeoplewith dementia). Thepractice sdatashowed89%ofpatientsdiagnosedwithdem entiahadtheircarereviewedinafacetofaceme etinginthelast12months,whichwasabovetheC CGaverageof83%andnationalaverageof84%.