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Inspection Summary

Overall summary & rating


Updated 12 February 2019

We carried out an announced comprehensive inspection at Dr Poonam Jha 15 January 2019, as part of our inspection programme.

At the last inspection in November 2014 we rated the practice as good overall. The full comprehensive report regarding that inspection can be found by selecting the ‘all reports’ link for Dr Poonam Jha on our website at .

We have rated this practice as good overall and good for all population groups.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services, and
  • information from the provider, patients, public, other organisations.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs, which were delivered in line with current best practice guidance.
  • Staff treated patients with kindness and respect, involving them in decisions about their care.
  • Patients’ comments were positive about practice staff and the care they received.
  • The practice organised and delivered services responsively and effectively. They addressed any challenges they encountered and engaged patients and staff in any changes to service delivery.
  • Staff demonstrated a good understanding of the patient population they provided care and treatment for.
  • The leadership, governance and culture of the practice promoted the delivery of high-quality, person-centred care.
  • There was a clear demonstration of a caring practice and examples of where staff went the “extra mile” for patients.

Whilst we found no breaches of regulations, the provider should:

  • Complete all actions as identified in their action plan against the recent infection prevention and control audit.
  • Continue to liaise with the contracted cleaning company to ensure that the COSHH sheets match the cleaning chemicals stored in the practice.
  • Continue to review and improve the use of templates for recording care plans in relation to dementia and mental health.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Professor Steve Field CBE FRCP FFPG FRCGP

Chief Inspector of General Practice

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable