The practice is rated as Requires Improvement overall (previous rating July 2017 – Requires Improvement)
The key questions at this inspection are rated as:
Are services safe? – Requires Improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires Improvement
We previously undertook a comprehensive inspection of Dr Sundar Vaid 6 July 2017. The overall rating for the practice was Requires Improvement with the Effective and Caring domains being rated as Requires Improvement. This was because the practice was not following Gillick guidelines in relation to caring for and treating children under 16 years old.
The full comprehensive report on the July 2017 inspection can be found by selecting the ‘all reports’ link for Dr Sundar Vaid on our website at www.cqc.org.uk.
Dr Sundar Vaid and Dr Saptarshi Saha’s practices merged on 1 January 2018. We previously undertook a comprehensive inspection of Dr Saptarshi Saha on 11 April 2017 and the overall rating was Good.
The full comprehensive report on the April 2017 inspection can be found by selecting the ‘all reports’ link for Dr Saptarshi Saha on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 10 July 2018 to confirm that the practice met the legal requirement in relation to the breach in regulation that we identified in our previous inspection on 6 July 2017.
At this inspection we found:
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice opening hours had been increased to five days a week.
- Patients were able to access appointments when they needed them.
- Policies and procedures were in place to manage risk, although they were not all being used effectively.
- The practice had not obtained all of the required recruitment information for newly employed staff or ensured that they completed the induction programme.
- There was some evidence that quality and operational information was reviewed to try to improve performance.
- There was some evidence of systems and processes for learning, continuous learning and innovation.
The areas where the provider must make improvements as they are in breach of regulations are:
- Ensure specified information is available regarding each person employed recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
- Establish effective systems and processes to ensure good governance with the fundamental standards of care.
The areas where the provider should make improvements are:
- All staff should be aware of which clinician is the safeguarding lead.
- The induction programme should be completed by all new staff.
- Consider formally monitoring the prescribing of controlled drugs.
- GPs should be aware of the arrangements for reporting concerns around controlled drugs with the NHS Area Team Controlled Drugs Accountable Officer.
- Consider holding formal meetings with the Health Visitors.
- Consider ways to increase the uptake of national programmes such as cervical screening and childhood immunisations.
- Recommence palliative care meetings.
- Improve staff awareness of the provider’s vision and values.
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.