Dr PV Gudi and Partner

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

At the last inspection we found the practice did not have fully embedded governance system, there was a lack of leadership and oversight and there were limited processes in place for managing risks. At this inspection, we found that the provider had taken action to address areas of governance and there were now safe systems in place to ensure people had safe care and treatment. We found that there was leadership in place to ensure there was adequate oversight and there were systems in place to manage risk, issues and performance. The practice had designated roles for areas of accountability.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There were systems to ensure compliance with the requirements of the duty of candour and processes in place for effective communication and shared learning. There was a whistleblowing policy in place and a named freedom to speak up guardian. All staff had completed mandatory training which included equality and diversity. The practice had a mission statement in place “To provide the best possible care to patients”. The practice had a realistic strategy and were reviewing their supporting business plans to achieve sustainability. This included the recruitment and retention of staff and the continued engagement with the community and stakeholders.

The management team had reviewed their roles to ensure areas of accountability within the practice. There were plans in place for the development of staff as part of their succession planning. The practice was working to ensure that resources were in place and that the practice remains sustainable and plans and delivers improvements.

The practice had clear policies and procedures accessible to all staff, for example, there was a whistleblowing, equality and diversity and duty of candour policy in place and a nominated freedom to speak up guardian to support staff if they wanted to raise an issue. As part of the practice’s mandatory training, we saw evidence that all staff had completed equality and diversity training.

There were policies and procedures in place for the safe recruitment of staff which were regularly reviewed. Other policies included equality and diversity, bullying and harassment and grievances. All staff had completed equality and diversity training and had access to regular appraisals, one to ones, coaching and mentoring, clinical supervision and revalidation. There was an induction process in place for newly appointed staff and staff reported there was always someone available to support them and they were able to ask for advice if it was required.

At the last inspection the provider failed to have effective monitoring of risk and we found some of the systems in place to be ineffective. However, during this assessment we found governance structures and systems had been strengthened. A business continuity plan was in place which gave guidance to staff for the preparation of major incidents. We found that policies contained clear information about the designated lead in areas such as infection, prevention and control and safeguarding. All staff were aware of the designated leads in these areas. The practice had policies in place for sharing information with third parties, for example primary care network (PCN) staff.

There were processes in place for partnership and community engagement. For example, regular meetings were held across the primary care network to deliver joined up care and to sharing good practice and learning. In addition, the practice held regular practice and clinical meetings to collaborate effectively and make improvements in peoples care and treatment.

There were regular practice meetings being held with staff with standing agenda items to review learning. We saw evidence to demonstrate that the outcomes from significant events or complaints, were shared with staff to promote learning and mitigate future risks. We found that processes were in place and the practice had carried out a number of targeted quality audits and used information about care and treatment to make improvements.