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Dr Shabir Bhatti Good Also known as Bermondsey Spa Medical Practice

The provider of this service changed - see old profile

Reports


Inspection carried out on 25 October 2017

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

Dr Shabir Bhatti received a comprehensive inspection on 15 October 2015. The overall rating for the practice was inadequate. The practice was placed in special measures and was found to be in breach of seven regulations. Requirement notices were set for regulations 12, 13, 15, 16, 17, 18 and 19 of the Health and Social Care Act 2008. Since the October 2015 inspection the registered provider of the practice changed from Dr Shabir Bhatti to a partnership of Dr Shabir Bhatti and Dr Bilal Bhatti.

We carried out an announced comprehensive inspection of Dr Shabir Bhatti on 3 November 2016. Significant improvements were found and the overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. This was because the provider did not have a defibrillator available at the practice or an appropriate risk assessment to indicate how they would deal with a medical emergency that required one. We also found that procedures for checking medicines and equipment taking on home visits, identifying carers and recording multidisciplinary team meeting discussions required a review.

The full comprehensive report can be found by selecting the ‘all reports’ link for Dr Shabir Bhatti on our website at www.cqc.org.uk.

This inspection was an announced desk-based follow up inspection carried out on 25 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation 12 that we identified in our previous inspection on 3 November 2016. This report covers our findings in relation to those requirements and also where additional improvements have been made since our last inspection.

Overall the practice is rated as good. Specifically the practice was now found to be good for providing safe services.

Our key findings were as follows:

  • The practice had access to an automated external defibrillator (AED) for use in medical emergencies.

  • The practice had implemented formal procedures for checking equipment and medicines taken on home visits, to ensure they were safe for use and accessible.

  • Minutes of multi-disciplinary meetings were kept, however they did not contain sufficient contents of the discussions or resulting action points. The practice had reviewed this after the inspection.

  • The practice had implemented a new system for identifying carers which was laid out in their carers’ identification protocol. A carers' notice board had been provided in the waiting area. The practice had currently identified 70 carers which was 0.65% of the practice population.

However, there were areas of practice where the provider needs to make improvements.

The provider should:

  • Ensure that minutes of multi-disciplinary meetings contain sufficient detail to capture contents of discussions and resulting action points.

  • Ensure ongoing identification of carers so that the needs of carers can be met.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection carried out on 03 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

Following an earlier comprehensive inspection of Bermondsey Spa Medical Practice on 15 October 2015 the practice was given an overall inadequate rating. The practice was placed in special measures and was found to be in breach of seven regulations. Requirement notices were set for regulations 12, 13, 15, 16, 17, 18 and 19 of the Health and Social Care Act 2008.

Since the October 2015 inspection the registered provider of the practice changed from Dr Shabir Bhatti to a partnership of Dr Shabir Bhatti and Dr Bilal Bhatti. A registration site visit to the practice took place on 02 August 2016 and the partnership was registered with CQC on 15 September 2016.

We carried out an announced comprehensive inspection on 03 November 2016 to consider if all regulatory breaches in the previous inspections had been addressed, and to consider whether sufficient improvements had been made to bring the practice out of special measures. At this inspection we found significant improvements had been made. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were generally assessed and managed, however the practice did not keep records of multidisciplinary meetings.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • The practice had good facilities and was well equipped to treat patients and meet their needs, however there was no defibrillator on the premises. The practice told us that this had been discussed in a clinical meeting and a risk assessment made which determined that a defibrillator was not needed.

  • There was a clear leadership structure and staff felt supported by management. Staff told us that the level of support had increased significantly since the previous inspection.

  • The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvements are:

  • Do all that was reasonably practicable to assess, monitor, manage and mitigate risks to the health and safety of service users with regards to providing an automatic external defibrillator (AED) for use in medical emergencies.

The areas where the provider should make improvements are:

  • Implement formal procedures for checking equipment and medicines taken on home visits, to ensure they are safe for use, comprehensive and accessible in a timely manner.

  • Keep minutes to evidence frequency and content of multi-disciplinary meetings.

  • Review how they identify carers to ensure their needs are known and can be met.

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice