24 October 2018
During an inspection looking at part of the service
This practice is rated as Good overall. (Previous rating January 2018 – Good)
The key question at this inspection is rated as:
Are services well-led? - Good
We carried out an announced focused inspection at Guttridge Medical Centre (Dr Shahid Surgery) on 24 October 2018 to follow up the breach of regulation 17, Good governance, identified at our inspection in January 2018 and to see whether our recommendation for improvement at our January inspection had been addressed. At the time of this inspection, the principal GP had been absent for some time and care for patients was being provided primarily by a regular locum GP. We inspected evidence relating to the Well-led key question.
At this inspection we found:
- The practice had begun to identify and manage the risks associated with historical patient clinical care. Patient prescribing was under review and changes had been made to reflect best practice.
- We saw evidence of good patient record-keeping although reasons for changes to patient medicines were not always recorded.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice had improved the identification of patients on the register who were carers and offered them the appropriate support. They had identified 30 patients as carers (1.3% of the practice list) at the time of our inspection.
- Governance of the practice had improved and additional systems to manage risk in the practice had been identified and put in place.
- The organisation of practice policies and procedures had improved although further work to avoid duplication of policies was needed.
The areas where the provider should make improvements are:
- Improve the management of practice policies and procedures.
- Take action to record reasons for changes to patient medicines and treatment on patient clinical records.
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.