• Doctor
  • GP practice

Dr Rashmi Jain

Overall: Good read more about inspection ratings

5 Hatton Lane, Stretton, Warrington, Cheshire, WA4 4NE (01925) 599856

Provided and run by:
Dr Rashmi Jain

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr Rashmi Jain on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr Rashmi Jain, you can give feedback on this service.

25 February 2020

During an inspection looking at part of the service

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a change to the quality of care provided since the last inspection.

This inspection focused on the following key questions:

  • Effective
  • Well Led

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

  • Safe
  • Caring
  • Responsive

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 received 54 CQC feedback cards about patient care and experience, these cards were given to patients before and during the inspection. Comments made by patients were positive about the services provided and the practice staff. A small number of negative comments related to patient access for GP appointments and car parking.

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

We found that:

  • Patients’ needs were assessed, and care and treatment was delivered in line with current legislation, standards and evidence-based guidance supported by clear pathways and tools.
  • The practice had a comprehensive programme of quality improvement and used information about care and treatment to make improvements.
  • Staff had the skills, knowledge and experience to deliver effective care, support and treatment.
  • Care was delivered and reviewed in a coordinated way when different teams, services or organisations were involved.
  • The practice actively identified people who may need extra support to live a healthier lifestyle. Staff provided advice and information i.e. leaflets, so people can self-care.
  • The practice monitored the performance targets for long term conditions which at the time of inspection required improvements.
  • The practice understood the needs of its local population and had developed services in response to those needs.
  • There was evidence that complaints were used to drive continuous improvement. However, the organisation of this information required improvements.
  • Practice leaders had the experience, capacity and skills to deliver the practice strategy and address risks to it. The practice had undergone a number of challenges across the previous year related to opening a branch surgery while taking over a neighbouring practice. We found that the leadership team were knowledgeable about the issues and priorities relating to the quality and future of the service.
  • The practice had a culture which drove high quality sustainable care. There were governance structures and systems which were regularly reviewed and there were clear and effective processes for managing risks, issues and performance.
  • The practice engaged with staff and patients to develop services.

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

  • Develop central management systems for the effective oversight and management of practice complaints, staffing recruitment and training.
  • Review the systems in place for the storage of medical records to ensure they are accessible, their integrity is protected against loss or damage, and patient confidentiality is maintained.
  • Review all complaints made to the practice annually to identify trends and themes.
  • Continue to review and monitor the data that falls below the Clinical Commissioning Group (CCG) and national averages.

17/10/2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rashmi Jain, also known as Stretton Medical Centre on 7 July 2016. The overall rating for the practice was ‘requires improvement’. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Dr Rashmi Jain on our website at www.cqc.org.uk.

At our previous inspection in July 2016 we rated the practice as ‘requires improvement’ for four of the five key questions we inspect against. The service required improvement for providing safe, effective, responsive and well-led services. The practice was therefore rated as ‘requires improvement’ overall. We issued four requirement notices to the provider relating to: the governance arrangements, staff recruitment, staff training and the management of complaints.

This inspection visit was carried out on 17 October 2017 to check that the provider had met their plan to meet the legal requirements. Overall the practice is now rated as good. Our key findings across all the areas we inspected were as follows:

  • The system for recording significant events and the actions taken in response to events had been improved.

  • Medicines and equipment was in place to deal with medical emergencies and staff had been provided with training in basic life support.

  • Improvements had been made to reduce risks to patient safety. For example some staff who acted as chaperones had undergone the appropriate checks for this and health and safety related assessments and risk management plans had been carried out. A sufficiently detailed fire risk assessment had not been carried out but this was addressed immediately following the inspection visit.

  • Infection control practices were good and there were regular checks on compliance with infection control measures.

  • Clinical staff assessed patients’ needs and delivered care in line with current evidence based guidance.

  • The practice used performance indicators to measure their performance. Data showed that the practice achieved results comparable to other practices locally and nationally for outcomes for patients.

  • Feedback from patients about the care and treatment they received from clinicians and staff in all other roles was positive. Patients said they were treated with dignity and respect and they were involved in decisions about their care and treatment.

  • Staff told us they felt well supported to meet the roles and responsibilities of their work.

  • The appointments system was sufficiently flexible to accommodate urgent appointments, same day appointments and pre-booked appointments. Patients told us they found it easy to make an appointment and there was good continuity of care.

  • Complaints had been investigated and responded to in a timely manner.

  • A range of enhanced services were provided to meet the needs of the local population.

  • The practice sought patient views about improvements that could be made to the service. This included the practice having and consulting with a patient participation group (PPG).

Areas where the provider should make improvements:

  • The arrangements for repeat prescribing for patients taking high risk medications should be kept under review.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

07/07/2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rashmi Jain on 7 July 2016. Overall the practice is rated as requires improvement. Our key findings across all the areas we inspected were as follows:

  • The system for recording significant events and the actions taken in response to events was not sufficiently robust.

  • Medicines and equipment was in place to deal with medical emergencies, however, not all staff had been trained in basic life support.

  • There were systems in place to reduce risks to patient safety but not all of these were sufficiently robust. For example some staff acted as chaperones without having undergone the appropriate checks for this and some health and safety related assessments and risk management plans had not been carried out.

  • Infection control practices were good and there were regular checks on compliance with infection control measures.

  • Clinical staff assessed patients’ needs and delivered care in line with current evidence based guidance.

  • Feedback from patients about the care and treatment they received from clinicians and staff in all other roles was very positive. Patients said they were treated with dignity and respect and they were involved in decisions about their care and treatment.

  • Data showed that outcomes for patients at this practice were similar to outcomes for patients locally and nationally.

  • Staff told us they felt well supported to meet the roles and responsibilities of their work. However, not all staff had been provided with basic mandatory training such as safeguarding and fire safety.

  • The appointments system was sufficiently flexible to accommodate urgent appointments, same day appointments and pre-booked appointments. Patients said they found it easy to make an appointment and there was good continuity of care.

  • The practice provided ground floor facilities and access for disabled people. However, the practice did not provide additional facilities for disabled people such as a hearing loop system.

  • Complaints had been investigated and responded to in a timely manner. However, appropriately detailed information about how to complain was not made readily available to patients.

  • The practice provided a range of enhanced services to meet the needs of the local population.

  • The practice sought patient views about improvements that could be made to the service. This included the practice having and consulting with a patient participation group (PPG).

Areas where the provider must make improvements:

  • Implement an effective and formalised system to capture and respond to significant events and to share the learning from these.

  • Implement an effective complaints procedure that provides patients with appropriate and accurate information about how to complain, how they can expect their complaints to be handled and what they can do if theyre not happy with the outcome of their complaint.

  • Carry out risk assessments and produce management plans for health and safety related areas of work.

  • Ensure appropriate policies and protocols are in place for the safe storage of vaccines.

  • Ensure the required recruitment checks are carried out for staff in line with their roles and responsibilities.

  • Ensure staff are provided with the required training for roles and responsibilities.

  • Ensure all patient records are stored securely in line with the Data Protection Act.

Areas where the provider should make improvements:

  • Review the provision made for people who require reasonable adjustments such as facilities for patients who are disabled.

  • Carry out full cycle clinical audits to monitor the clinical care provided and improve outcomes for patients.

  • Improve the system for ensuring safety alerts are formally shared and acted upon.

  • Implement a system to log and track prescriptions allocated.

  • Formalise the arrangements for staff meetings and document the outcome of meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

24 April 2014

During an inspection looking at part of the service

This was a follow up to our inspection of December 2013 to check improvements required had been made. At our last inspection we found the complaints policy of the practice was not followed and that it was not fully accessible to patients who used the surgery. We had also found background checks the practice was required to conduct on staff applying to work at the practice, were not applied consistently. The owner of the surgery, Dr Rashmi Jain was required to make improvements in these areas.

At the time of this inspection, there were no patients waiting to be seen by the doctor, so we were unable to ask them for their views on the service. We found that the waiting and reception areas were well laid out, clean and tidy. When we walked through the administrative support area, we saw this was well ordered and that there were sufficient staff available to answer phones and respond to people arriving in the reception area. In the waiting area, we saw that information was available on clinics run by the surgery and the times of these, for example, the diabetes clinics. We further noted that an information leaflet on the practice, was freely available in the reception area. This contained details of how to make a complaint and how to request a copy of the complaint procedure.

When we reviewed staff files we found they were uniform in their layout which made them easy to follow and check. We found that staff had undergone the necessary background checks and copies of documents that support this were held in their staff files.

19 December 2013

During a routine inspection

During this inspection we visited the Stretton Medical Centre. We spoke with the registered manager / GP, practice manager, reception staff and a sample of patients on the day of our visit.

Patients spoken with were positive about the practice and commented that they were happy with the care they received. Comments received from patients included: "Absolutely love it"; "Brilliant doctors"; "Good with children" and "I feel involved in my care".

The practice provided patients' with a range of health care information leaflets and information on the practice.