Archived: Dr Naranammalpuram Srinivasan Also known as York Road Surgery

This practice is rated as Requires improvement overall. (Previous inspection June 2015 – Good)

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Requires improvement

People with long-term conditions – Requires improvement

Families, children and young people – Requires improvement

Working age people (including those recently retired and students) – Requires improvement

People whose circumstances may make them vulnerable – Requires improvement

People experiencing poor mental health (including people living with dementia) - Requires improvement

We carried out an announced comprehensive inspection at Dr Naranammalpuram Srinivasan on14 March 2018 as part of our inspection programme.

At this inspection we found:

• The practice had some systems to manage risk so that safety incidents were less likely to happen. However, some of the systems required improvement, for example, fire safety as staff training had not been provided and fire safety equipment had not been regularly checked. When incidents did happen, the practice learned from them and improved their processes.

• The practice reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence- based guidelines although some of the practice clinical guidelines required updating.

• All required pre-employment checks had not always been completed and staff training and appraisal had not been maintained.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

The areas where the provider must make improvements are:

• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

• Ensure recruitment procedures are established and operated effectively.

• Ensure care and treatment is provided in a safe way to patients.

The areas where the provider should make improvements are:

• The infection prevention and control policy and procedure should be further developed to include areas such as management of sharps and waste.

• An infection prevention and control action plan should be developed and implemented to address shortfalls identified in the audit.

• The fire risk assessment should be reviewed and updated as necessary.

• The emergency protocol should be reviewed and updated as necessary.

• The risk assessment associated with blind cords should include an assessment of blinds in consulting rooms.

• Records of meetings should record in more detail incidents discussed, learning shared and actions agreed.

• Review systems for identifying carers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice