Archived: Dr Krishna Khatri Also known as Dr K Khatri

Letter from the Chief Inspector of General Practice

Dr Krishna Khatri’s practice was inspected on the 6 November 2014. This was a comprehensive inspection. This means we reviewed the provider in relation to the five key questions leading to a rating on each on a four point rating scale. We assessed all six of the population groups and the inspection took place at the same time as we inspect a number of practices in the area overseen by Wigan Clinical Commissioning Group (CCG).

We rated the practice as requiring improvement in respect of being safe and good in relation to being effective, caring, responsive and well-led. The overall rating for the practice was good.

Our key findings were as follows:

Systems were in place for ensuring the practice was regularly cleaned. We found the practice to be clean at the time of our visit. A system was in place for managing Infection prevention and control.

The practice had systems in place to ensure best practice was followed. This is to ensure that people’s care, treatment and support achieves good outcomes and is based on the best available evidence.

Information we received from patients reflected that practice staff interacted with them in a positive and empathetic way. They told us that they were treated with respect, always in a polite manner and as an individual.

Patients spoke positively in respect of accessing services at the practice. A system was in place for patients who required urgent appointments to be seen the same day. Patients accessed appointments by telephone as the practice did not have a web site.

We saw areas of outstanding practice including;

The practice had independently purchased and introduced an electronic dictation system to minimise errors and the risk of lost referral letters and to easily audit patient referrals.

An electronic system had been independently purchased and introduced by the practice. This system contained a comprehensive range of clinical tools and templates and also had the capacity for auditing and performance monitoring to help ensure patient’s needs were being met.

There were however also areas of practice where the provider needs to make improvements. 

Importantly, the provider must:

Take action to ensure that people who use the service are protected by operating effective recruitment and selection procedures that includes relevant checks being carried out (and evidenced) when staff are employed.

In addition the provider should:

We saw that not all records relating to significant events identified how actions taken are monitored over time to ensure they are embedded and effective. The practice should take action to ensure records demonstrate how such actions are monitored.

We saw that staff appraisals had taken place and included a process for documenting, action planning and reviewing appraisals. However records looked at showed that formal staff appraisals were overdue at the time of our visit having last been completed in August 2013. The practice should take action to ensure staff appraisals are regularly completed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice