9 November 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr. Bhiku Pattni on 9 November 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Data showed the practice performance in respect of QOF was mixed with the practice performing significantly below local and national averages in relation to some clinical conditions.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment but this did not align with national patient survey data.
- 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.
- 100% of patients in the national patient survey said they found the receptionists at the practice helpful, compared to the CCG average of 84% and the national average of 87%.
- The practice employed two receptionists and the Practice Manager. There was a clear leadership structure and staff felt supported by management.
- The provider was aware of and complied with the requirements of the duty of candour.
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The practice was in the process of merging with a larger local practice and negotiations were at an advanced stage. We were informed by the Clinical Commissioning Group (CCG) that they were currently processing the formal documentation. Applications for this registration have not yet been submitted to CQC, we are working with the provider to resolve this.
The areas where the provider must make improvement are:
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Have a system to effectively monitor patient outcomes in order to drive improvement.
The areas where the provider should make improvement are:
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Review the availability and impact on skills mix of all staff.
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Review care plans to ensure they are all fully documented.
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Review arrangements in place for the diagnosis of Chronic Obstructive Pulmonary Disease (COPD) using spirometry, to ensure appropriate monitoring and outcomes for patients.
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Continue to seek and monitor patient feedback in order to identify areas for further improvement.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice