Archived: Dr Ramesh Sharma Also known as Borough Medical Centre - Dr RK Sharma

We carried out an inspection of this service on 11 December 2019 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. We previously inspected the practice on 22 April and 15 October 2015 and rated it Good overall. At this inspection we found the service to be Good in all the key questions and all population groups except People of Working Age which was rated Requires Improvement.

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 except People of Working Age which was rated Requires Improvement.

We rated the practice as Good for providing safe services because:

• There was a formal process for reviewing patients prescribed high risk medicines to monitor their health.

• The practice was correctly monitoring indemnity arrangements and professional registrations of clinical staff.

• Staff demonstrated competent knowledge of safeguarding, fire and infection control training.

• Safeguarding arrangements and the mechanisms for reporting significant events were clear.

We rated the practice as Good for providing Effective services because:

• There was clear care planning for patients.

• The practice had systems to review and monitor the quality of care provided by locum staff and all staff had been appraised.

• The practice undertook effective joint working with other organisations.

• Performance indicators for patients with childhood immunisation rates and cervical screening were below targets. The practice was working to address these areas and this was evidenced by the improvements demonstrated by unvalidated data following various approaches towards communication and information for parents.

We rated the practice as Good for providing Caring services because:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.

• The practice had identified the carers within their practice list and had implemented support for them.

We rated the practice as Good for providing Responsive services because:

• The complaints policy was accessible and had been updated. Complaints had been responded to and recorded.

• The appointment systems were easy to use and patients were supported to access appointments.

We rated the practice as Good for providing well-led services because:

• The leadership governance and culture supported the delivery of high-quality person-centred care.

• The arrangement for governance and performance management were clear and operated effectively.

• There was action taken in response to feedback from staff and patients.

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

• Put in place a safety net to chase any patients who fail to attend follow up appointments;

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