Dr Murthy Motupalli Also known as Blackburn Road Medical Practice

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Dr Murthy Motupalli, for three areas, within the key question safe.

We found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was inspected on 11 March 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated ‘good’ overall. However, within the key question safe, safe care and treatment and fit and proper

persons employed were identified as ‘requires improvement’, as the practice was not meeting the legislation at that time; Regulation 12 Safe care and treatment and Regulation 19 Fit and proper persons employed.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safe care and treatment and Regulation 19 Fit and proper persons employed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Murthy Motupalli, also known as Blackburn Road Medical Practice on 11 March 2016. Overall the practice is rated as good, although the safe domain 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.
• Risks to patients were not always well identified and managed. Areas such as recruitment checks, emergency equipment, medicines and emergency medical equipment did not ensure patient safety.
• 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 they found it easy to make an appointment with a named GP and that there was good continuity of care, with urgent appointments available the same day.
• There was a clear leadership structure and most 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 areas where the provider must make improvements are:

Improve measures to address risks to patients including:

• Ensure recruitment arrangements include all necessary employment checks for all staff.

• Ensure all emergency medications are in date and stored securely.

• Review procedures for acute prescribing of controlled drugs to ensure it is done safely.

• Ensure oxygen is provided to meet National Resuscitation Council guidelines.

• Conduct a legionella risk assessment and introduce relevant control measures.

• Update the infection control policy.
• Ensure privacy screens are cleaned or replaced in line with NHS guidance.
• Improve scrutiny and oversight of safeguarding including safeguarding as agenda item on practice and multi-disciplinary meetings.

The areas where the provider should make improvements are:

• Implement a coordinated programme of clinical audit and re-audit to demonstrate improved patient outcomes.
• Ensure complaints are acknowledged and responded to in line with NHS timescales, and adequate records of verbal and written correspondence are maintained.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice