We carried out an announced comprehensive inspection at Dr Abiodun Obisesan on 18th December 2018 to check that improvements that had been identified at our inspection of 1st August 2017 had been sustained.
The practice had been placed into special measures following our inspection of 9th August 2016. The inspection of 1st August 2017 was a comprehensive inspection to ensure that improvements had been made. At that time, the practice was taken out of special measures and rated as good overall, with requires improvement for providing responsive services and also requires improvement for patients with long-term health conditions. This was because performance in respect of an atrial fibrillation and some diabetes indicators were below average. Further, patient feedback was below average in respect of access.
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.
We have rated the practice as requires improvement for providing safe services because:
- There were not effective systems to disseminate information from patient and medicine safety alerts to the relevant staff.
- The policy to manage changes to medicines from other providers was not always followed by staff.
- Not all medicines that were prescribed and supplied by other providers were included in the patient’s clinical records. This had been highlighted in our previous report in December 2017.
We have rated the practice as good for providing effective, caring, responsive and well-led services and across all population groups because:
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs.
- Improvements had been made to ensure that patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Systems required review to ensure that patients with atrial fibrillation were coded correctly.
- Data evidenced that improvements had been made in respect of diabetes indicators.
- Whilst there was a record of staff immunisations in individual records, there was no central record of this.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Review the records of patients with atrial fibrillation to ensure that these are accurate.
- Maintain a central record of staff immunisations.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice