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Review carried out on 21 November 2019

During an annual regulatory review

We reviewed the information available to us about Dr Poonam Jha on 21 November 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 15 January 2019

During a routine inspection

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 carried out on 4 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on the 4 November 2014 as part of our new comprehensive inspection programme.

We found that the practice had made provision to ensure care for patient was safe, caring, responsive and effective and we have rated the practice as good.

Our key findings were as follows:

  • Where incidents had been identified relating to safety, staff had been made aware of the outcome and action taken where appropriate, to keep people safe.
  • All areas of the practice were visibly clean and where issues had been identified relating to infection control, action had been taken.
  • People received care according to professional best practice clinical guidelines. The practice had regular information updates, which informed staff about new guidance to ensure they were up to date with best practice.
  • The service ensured people received accessible, individual and compassionate care, whilst respecting their needs and wishes.
  • The practice has a clear vision to deliver high quality care and promote good outcomes for patients. We found that the visions and values are embedded within the culture of the practice and are being achieved. There are good governance and risk management measures in place. We found that the provider listens to patient comments and takes action to improve their service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice