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Archived: Dr Berk Private GP Surgery

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Inspection report

Date of Inspection: 22 October 2013
Date of Publication: 5 December 2013
Inspection Report published 05 December 2013 PDF | 86.04 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 22 October 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

We asked the doctor about his practice with patients. We heard that most people come to the surgery for consultation about obstetric and gynaecological concerns. The doctor provided consultation, ultrasound screening, care during or post pregnancy, cervical smear tests, blood tests and prescribing as appropriate.

The doctor explained how a patient’s condition was assessed and the range of tests and diagnostic facilities that could be used. The doctor described how people were helped to describe and discuss difficult issues of a personal nature which enabled concerns to be identified and fully explored informing a diagnosis and an opinion on people's needs.

We asked about the provision of information and advice about healthy lifestyles. The doctor explained that this was an important part of the advice offered. For example, when discussing fertility issues, the doctor said they took care to provide people with statistical information to help explain why good diet, weight management and avoiding smoking or drinking alcohol was important.

We looked the notes on three patients held on computer. We saw that patient's details were recorded along with a record of examinations carried out and the diagnosis arrived at.

Where treatment was provided at the surgery we saw that this was properly recorded and the batch numbers of any medicines given were logged. The records showed the conclusion of the consultations carried out and notes of any further actions taken, such as referral to other health services or advice given to patients. Records were clear and easy to read. They included copies of letters sent out on behalf of the people seen at the service.

We asked about emergency procedures in place at the surgery. The doctor explained that the most common emergency was the diagnosis of ectopic pregnancy whereby the practice's policy was to ensure the person went straight to hospital via an ambulance. The receptionist confirmed that this was what happened even if patients were reluctant to go to hospital there and then.

We saw from the information available to patients that information was provided to them about what to do in other medical emergencies. The doctor told us that this was also made clear to people during their consultations.