The Care Quality Commission
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Archived: Brookfield Surgery Also known as Dr P Shanmugam

Overall: Good read more about inspection ratings

Saville Street, Dalton, Rotherham, South Yorkshire, S65 3HD

Provided and run by:
Dr Prabhu Shanmugam

Important: The provider of this service changed - see old profile

All Inspections

16 August 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Brookfield Surgery on 16 August 2017. 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 a system in place for reporting and recording significant events.

  • The practice had systems to minimise risks to patient safety. However, we found some areas for improvement to maintenance of equipment, records of blank prescriptions, medicines and emergency equipment checks and monitoring and follow-up of uncollected prescriptions.

  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with 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 the majority of staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of the requirements of the duty of candour. The template for recording notifiable incidents did not support the recording of action taken under the duty of candour although there was evidence in complaints records this duty was met.

The areas where the provider should make improvement are:

  • Take account of the duty of candour requirements and review the incident recording form so this supports the recording of action taken under the duty of candour.

  • Arrangements for minimising risk of infection should be reviewed in relation to the damaged phlebotomy chair.

  • Review and improve arrangements for monitoring and follow-up of uncollected prescriptions.

  • Systems to identify patients who are carers should be reviewed and improved.

  • Continue to monitor and review the number of staff and mix of staff needed to meet patients’ needs.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice