Dr Sarit Patel Also known as St Katharine Docks Practice

We previously carried out an announced comprehensive inspection of Dr Sarit Patel (also known as St Katharine Docks Practice) on 19 February 2019. At the inspection, we rated the practice as good overall, but as requires improvement for providing safe services because:

• There were gaps in staff training in relation to safeguarding, fire safety and infection control.
• No infection prevention and control audits had been completed and there were infection control risks that the practice had not identified.
• There was no risk assessment for the storage of hazardous substances.
• Staff vaccination was not maintained in line with current Public Health England (PHE) guidance.
• Blank prescriptions were not kept securely and their use was not being monitored.

The full report of the February 2019 comprehensive inspection can be found by selecting the ‘all reports’ link for Dr Sarit Patel on our website at www.cqc.org.uk.

We carried out an announced focused inspection of Dr Sarit Patel on 16 July 2019 to check whether the practice was providing safe care.

We based our judgement of the quality of care at this service is 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, the public and other organisations.

At this focused inspection on 16 July 2019, we found the practice had made improvements.

We have rated this practice as good overall.

We rated the practice as good for providing safe services because:

• Staff training in adult and child safeguarding, fire safety and infection control was up to date.
• An infection control audit had been completed and there was an action plan in place to address any issues identified.
• The practice had risk assessments in place for the storage of hazardous substances.
• There was a record of vaccinations and immunisation status for non-clinical staff.
• Blank prescriptions were kept securely and the practice had created a log in which to record prescription serial numbers to monitor their use.

We also found the practice had acted upon suggested areas of improvement from the previous inspection:

• The practice had created a log in which to record complaints received, who dealt with the complaint and when the complaint response was sent. Every complaint had its own folder on the computer system in which incoming and outgoing correspondence was kept. We saw evidence that complaints were discussed during staff meetings.
• The fire procedure had been updated and identified who the practice’s fire marshal and deputy fire marshal were.

Although we did not find any breaches of regulations, we identified one area of improvement and the practice should:

• Ensure that any issues identified from the monthly infection control checks are updated to reflect the progress and actions taken to resolve them.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

We carried out an announced comprehensive inspection of Dr Sarit Patel (also known as St Katharine Docks Practice) on 19 February 2019 as part of our inspection programme.

At the previous inspection of Dr Sarit Patel on 11 February 2016 we rated the practice as good overall.

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, the public and other organisations.

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

We rated the practice as requires improvement for providing safe services because:

• There were gaps in staff training in relation to safeguarding, fire safety and infection control.
• No infection prevention and control audits had been completed and there were infection control risks that the practice had not identified.
• There was no risk assessment for the storage of hazardous substances.
• Staff vaccination was not maintained in line with current Public Health England (PHE) guidance.
• Blank prescriptions were not kept securely and their use was not being monitored by the practice.

We rated the practice as good for providing effective, caring, responsive and well-led services because:

• Care and treatment was delivered according to relevant and current evidence based guidance and standards.
• The practice reviewed and monitored the effectiveness and appropriateness of the care and treatment it provided.
• There were systems for reviewing and taking action in relation to safety alerts and significant events. The practice was aware of the duty of candour.
• Patient feedback about the practice was very positive and the practice reviewed and acted upon feedback. The practice had an active patient participation group.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• Staff were supported to develop new skills and knowledge.
• There was a clear leadership structure and staff told us they felt able to raise concerns and were confident these would be addressed.
• There was a strong focus on continuous learning and improvement.
• The way the practice was led and managed promoted the delivery of high-quality and person-centre care.

The areas where the provider must make improvements are:

• Ensure care and treatment is provided in a safe way to patients.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Review the system for logging patient complaints to ensure any learning is recorded, identified and shared with all relevant staff.
• Update the fire procedure to identify the fire marshals for the practice.

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

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice