The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Kamal Gupta

Overall: Good read more about inspection ratings

Bridgewater Medical Centre,, Henry Street,, Leigh, Lancashire, WN7 2PE (01942) 481815

Provided and run by:
Dr Kamal Gupta

Important: The provider of this service changed. See new profile

All Inspections

21 February 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Kamal Gupta on 6 September 2016. The overall rating for the practice was good, however the practice required some improvement in the key question safe. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Dr Kamal Gupta on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 21 February 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 6 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice remains rated as good.

Our key findings were as follows:

  • We reviewed a range of documents and spoke with staff which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe care and treatment.
  • The registered provider had ensured that all staff had received training in infection prevention and control (IPC) and an IPC audit had taken place.
  • The registered provider had ensured that recruitment arrangements included all necessary employment checks for all staff that included taking up references and completing enhanced disclosure and barring service checks, in particular for staff who were already undertaking chaperoning duties.

On this inspection we also found that the practice had:

  • Reviewed the management system of blank prescription forms and had introduced a system to manage their issue and distribution across the practice.
  • Reviewed and updated practice procedures and guidance.
  • Arranged up to date mental capacity act and consent training for clinical staff and this had been completed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

6 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Kamal Gupta on 6 September 2016. 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.
  • Risks to patients were assessed and well managed.
  • 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.
  • Patients said they found it easy to make an appointment with the 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.
  • The practice had a number of policies and procedures to govern activity, but some were overdue a review.
  • There was a 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.

We saw one area of outstanding practice:

  • The practice nurse was the lead for vulnerable adults and proactively undertook health screening and care management for patients with learning disabilities.

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

Importantly the provider must:

  • Ensure a Disclosure and Barring Service (DBS) check or risk assessment and training is in place for all staff who carry out the role of a chaperone.
  • Ensure that the practice undertakes an infection prevention and control (IPC) audit and staff receive appropriate IPC training.

Importantly the provider should:

  • Review the management system of blank prescription forms including the introduction of a system to manage their issue and distribution across the practice.
  • Review and update practice procedures and guidance.
  • Arrange up to date mental capacity act and consent training for clinical staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice