You are here

Dr Madhukar C Patel Good Also known as The Surgery

Reports


Inspection carried out on 20 January 2020

During an inspection to make sure that the improvements required had been made

We carried out an announced, focused inspection at Dr Madhukar C Patel’s practice on 20 January 2020. 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 significant change to the quality of care provided since the last inspection. This inspection focused on the following key questions:

  • Is the service safe?
  • Is the service effective?
  • Is the service well-led?

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

  • Are services caring? - Good
  • Are services responsive? – Good

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 rated the practice as good for the key questions: Is the service safe? Is the service effective? and Is the service well-led?

We rated the practice as good for all population groups except one: Working age people (including those recently retired and students). We rated this group as requires improvement because the practice was performing markedly below the national target for its cervical screening coverage.

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.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

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

  • Continue to promote and improve uptake rates of cervical screening, breast cancer screening and bowel cancer screening and childhood immunisations.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 9 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at 8.30am on 9 February 2016. Overall the practice is rated as good.

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.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said there was continuity of care, with urgent appointments available the same day. However, appointments with a preferred GP were not always available quickly.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

We found two areas of outstanding practice:

  • The principal GP had led an investigation to improve pathology services in the local area which had made an impact nationally in the manner in which pathology results were viewed and filed in the GP computer system.
  • The principal GP had led the development of templates which had been utilised widely by practices within the local area. This included bespoke templates for safeguarding, Disease Modifying Antirheumatic Drugs (DMARDs) and antenatal care. The GP had also contributed to the development of the Whole Systems Integrated Care template (a template adopted by all practices in the local network to gather information on high risk patients in order to develop care plans for them.

The areas where the provider should make improvement are:

  • Complete a risk assessment for legionella (Legionella is a term for a particular bacterium which can contaminate water systems in buildings).
  • Review the process for recording significant events and critical incidents.
  • Ensure all staff meetings are minuted with actions recorded.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice