18 November 2022
During an inspection looking at part of the service
We carried out an announced focused inspection at Dr STK Jafri and Partners on 10 and 18 November 2022. Overall, the practice is rated as Good.
Set out the ratings for each key question
Safe - Good
Effective - Good
Well-led - Good
Following our previous inspection on 17 December 2015, the practice was rated Good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr STK Jafri and Partners on our website at www.cqc.org.uk
Why we carried out this inspection
The location was inspected in line with our current priorities.
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Conducting staff interviews using video conferencing
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider
- Reviewing patient records to identify issues and clarify actions taken by the provider
- Requesting evidence from the provider
- A short site visit
- Staff feedback forms
Our findings
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
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs. Clinical searches and medical records we reviewed showed good management and monitoring of high-risk medicines and patients with long-term conditions.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients could access care and treatment in a timely way.
- The management team demonstrated an open and transparent leadership style.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
Whilst we found no breaches of regulations, the provider should:
- Embed practice policies and procedures for safe recruitment practice and monitor compliance.
- Continue to monitor and regularly review the validity of Patient Group Directions.
- Provide a more consistent approach to medicine reviews.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services