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Archived: Dr Mukesh Pandya Good Also known as Savita Medical Centre

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 14 February 2019

We carried out an announced comprehensive inspection at Dr Mukesh Pandya’s practice, also known as Savita Medical Centre, on 9 January 2019. We carried out this inspection in response to concerns that one or more of the essential standards of quality and safety were not being met.

At the last inspection in September 2017 we rated the practice as good overall.

At this inspection we have rated this practice as good overall.

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.

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

  • Uptakes rates for childhood immunisations and cervical screening were low.
  • Outcomes for patients with some long-term conditions were below local and national averages.

These areas affected the families, children and young people population group, the working age group, and the long-term conditions group.

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

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • Staff dealt with patients with kindness and respect. Feedback from patients we spoke with and CQC comment cards stated staff involved and treated patients with compassion, kindness, dignity and respect.
  • The practice organised and delivered services to meet patients’ needs. Although, results from the national GP patient survey showed some patients reported low satisfaction with accessing the service. The practice had reviewed this feedback and implemented changes to improve access to the service. Feedback from patients we spoke with and CQC comment cards showed patients found the appointment system easy to use and noted improvements in accessing appointments.
  • The practice was under a new management structure since October 2018. The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The provider should:

  • Take action to improve the recording of fire safety checks.
  • Implement training for reception staff to assist them in identifying a deteriorating or acutely unwell patient.
  • Continue to review and improve patient satisfaction with consultations and access to appointments.

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

Inspection areas

Safe

Good

Effective

Requires improvement

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good