The Care Quality Commission
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  • GP practice

Archived: Dr Vijay Iyer Also known as The Surgery Hodgson Centre

Overall: Good read more about inspection ratings

Hodgson Centre, Hodgson Avenue, Peterborough, Cambridgeshire, PE4 5EG (01733) 573232

Provided and run by:
Dr Vijay Iyer

All Inspections

11 October 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Vijay Iyer (known as The Hodgson Medical Centre) on 25 April 2016. The overall rating for the practice was good with a rating of requires improvement for providing safe services. We then carried out an announced focussed inspection on 28 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 25 April 2016.

The reports on the 25 April 2016 and 28 March 2017 inspections can be found by selecting the ‘all reports’ link for Dr Vijay Iyer on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 11 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulation that we identified in our previous inspection on 28 March 2017. This report covers our findings in relation to those requirements.

Overall the practice remains rated as good.

Our key findings were as follows:

  • Premises related risks were addressed appropriately, specifically outstanding actions following a legionella assessment.
  • Recruitment procedures included pre-employment checks that were in line with Schedule 3 of the Health and Social Care Act.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

28 March 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Vijay Iyer (known as The Hodgson Medical Centre) on 25 April 2016. The overall rating for the practice was good with a rating of requires improvement for providing safe services. The full comprehensive report on the 25 April 2016 inspection can be found by selecting the ‘all reports’ link for Dr Vijay Iyer on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 28 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 25 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good overall and remains as requires improvement for providing safe services.

Our key findings were as follows:

  • There was an effective system in place for; receiving and acting upon patient safety and medicines alerts and for receiving, reviewing and sharing evidence based guidelines.

  • These were acted upon to maintain patient safety.

  • The practice had implemented a repeat prescribing policy which was being followed to ensure the safe prescribing of medicines.

  • The practice had recruited one member of staff since the last inspection and pre-employment checks had improved. However, the recruitment records were not

  • Risks associated with fire and legionella had been assessed. Actions had been taken in response to the fire risk assessment. However, there were no records to show the actions had all been completed in relation to the legionella risk assessment completed in August 2016.

  • Systems were in place to ensure that all equipment received regular checks in accordance with the manufacturer’s guidelines.

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

Importantly the provider must:

  • Review the recruitment procedures to ensure that pre-employment checks are completed in line with Schedule 3 of the Health and Social Care Act.

  • Ensure that actions are taken in response to the legionella risk assessments and records are maintained to demonstrate the actions are completed in a timely manner.

At our previous inspection on 25 April 2016 we informed the provider they should also make arrangements for the Advanced Nurse Practitioner to receive clinical supervision and for the infection control lead to receive additional training. These arrangements had been completed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

25 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hodgson Medical Centre (registered as Dr Vijay Iyer) on 25 April 2016. Overall the practice is rated as good.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Some improvement was needed to strengthen a formal reporting process and ensure that learning opportunities were maximised.
  • Most risks to patients were assessed and well managed although environmental risks had not been assessed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance although the system for sharing new guidelines was not robust. 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.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. 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:

  • Ensure that there is a robust system in place for receiving and acting upon medicine safety alerts so that patients receiving prescribed medicines are reviewed in a timely manner and continue to receive appropriate medicines in accordance with national guidelines.

  • Review the systems in place for issuing repeat prescriptions and implement a policy to support safe practice so that medicines are prescribed safely.

  • Ensure that recruitment arrangements include all necessary employment checks for all staff.

  • Ensure that all environmental risks are appropriately assessed and measures to control any identified risks are implemented. This must include the risks of fire and legionella.

In addition the provider should:

  • Improve the incident reporting process so that issues are identified, reported and reviewed in a consistent way. Ensure that learning is shared and appropriate follow up takes place to ensure that learning has been embedded.

  • Develop the audit programme to include full cycle audits as part of a continuous improvement process.

  • Provide additional training for the member of staff with responsibility for leading on infection control issues.

  • Implement a system to share and review relevant best practice guidelines such as those issued byhe National Institute for Health and Care Excellence.

  • Improve the records of practice meetings, including clinical meetings, so that details of decision making and action points are recorded so that improvement can be monitored.

  • Ensure the advanced nurse practitioner has access to regular clinical supervision.

  • Establish systems to improve the monitoring of; use by dates for clinical equipment, the servicing and maintenance of all equipment, ongoing staff training programmes, and the regular review of practice policies and procedures.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice