Archived: Dr JS Chandra

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Chandra’s surgery on 18 January 2017. Overall the practice is rated as requires improvement.

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

• There was not always an effective system in place for the management of significant events.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they could make an appointment in advance with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs, however emergency equipment was not easily accessible.
• The practice was registered incorrectly. We have asked the practice to update this so that they are complying with the registration regulations.
• There was a clear leadership structure and staff felt supported by management, although the practice did not have clear visions and values embedded.
• The practice did not act upon patient feedback provided in the GP patient survey.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

• Review and consider processes to ensure the proper management of emergency equipment.

• Improve the system for the management of significant events in relation to the identification of risks to patients.

• Review and consider GP patient survey results and ensure these are acted upon to make improvements to services for patients.

The areas where the provider should make improvement are:

• Review and consider the practice’s visions and values and ensure all staff are aware of these.

• Continue to encourage patients to attend bowel cancer screening programmes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice