To Be Confirmed
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Mangarai Kishan Rao on 14 September 2016. Overall the practice is rated as good.
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Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.We saw good evidence of improving the service by learning from adverse events and errors.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance.
- Staff told us they felt supported.
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Feedback from patients about their care was consistently positive.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The practice actively reviewed complaints and how they were managed and responded to, and made improvements as a result.
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The National GP Patient Survey results showed that patient’s satisfaction with access to care and treatment was in line with local and national averages.
- Information about how to complain was available. There was a system in place to manage complaints.
- There were systems in place to monitor and improve quality and identify risk.
There were also areas of practice where the provider should make improvements. The provider should:
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Develop a system for the receipt of NICE guidelines and the cascading of these to relevant staff.
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Review the systems in place for responding to patient safety alerts. A lead person should be identified for this role to ensure that changes are made to patient care when alert information is received at the practice.
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Follow up children who do not attend their practice appointments. Regular safeguarding meetings and formal discussion should be set up with the community health visiting services.
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Review the arrangements for following up patients who have been discharged from hospital including reviewing all patient discharge letters
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Improve the care plans in place for patients with complex health needs, who are at high risk of avoidable unplanned hospital admissions.
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Update thepractice recruitment policy to ensure it reflects the recruitment of all staff groups.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice