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Dr Santokh Singh Matharu Good Also known as Beechtree Medical Centre

Reports


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Dr Santokh Singh Matharu on 9 September 2021. 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 Santokh Singh Matharu, you can give feedback on this service.

Inspection carried out on 11 December 2019

During an inspection looking at part of the service

We carried out an announced new style focused inspection at Dr Santokh Matharu (Beech Tree Medical Centre) on 11 December 2019 as part of our inspection programme, due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the key questions of effective and well-led.

Because of the assurance received from our review of information we carried forward the ratings of good for the key questions of safe, caring and 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 have rated this practice as good overall and good for all population groups.

We found that:

  • Practice staff provided care in line with up to date clinical guidance.
  • Quality improvement activity was carried out to monitor and improve outcomes for patients.
  • The practice collaborated with local partners to plan services to meet the needs of their patient group.
  • Staff told us they felt supported by the leadership team and were encouraged to develop.

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

  • Complete staff appraisals for all staff in a timely way.
  • Improve systems to encourage uptake of cervical screening.
  • Consider succession planning arrangements to provide continuity of care for patients registered at the practice.

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 14th January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on Thursday 14th January, 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open approach to safety and a system in place for reporting and recording significant events.
  • Risks to patients were assessed and 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.
  • The practice had proactively sought feedback from patients and had an active Patient Participation Group (PPG).
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice premises were purpose built.
  • 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.
  • The practice had a high level of achievement in the Quality and Outcomes Framework (QOF) and for screening.

The areas where the provider should make improvement are:

  • Improve the reporting of incidents to include minor incidents.
  • Develop a schedule for cleaning and equipment in line with national guidance.
  • Staff vaccination and immunity records were out of date, and need to be updated as soon as possible.
  • The business continuity plan was kept on the premises and the practice manager confirmed he would arrange for copies to be kept off site.
  • The practice should ensure that all staff are appropriately trained in respect of their duties under the Mental Capacity Act and the Deprivation of Liberty Safeguards.
  • Monitor the implementation of NICE guidance.
  • Develop a system of continuous learning and improvement.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice