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Rahman Practice Good Also known as Canvey Village Surgery

Reports


Review carried out on 2 July 2019

During an annual regulatory review

We reviewed the information available to us about Rahman Practice on 2 July 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 24 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection at Rahman Practice on 15 September 2015. At this inspection the practice was rated as good overall and in particular rated as good for providing effective, caring, responsive and well-led services and requires improvement for providing safe services.

During the inspection on 15 September 2015 we found that;

  • Recruitment checks prior to staff members starting their employment had not been obtained consistently. For example; proof of identification, references, qualifications, registration with the appropriate professional body and the appropriate checks through the ‘Disclosure and Barring Service’ (DBS) when needed.
  • The practice did not have access to emergency oxygen for patients.
  • The practice had not reviewed and brought up to date the practice policies and procedures for example; safeguarding and infection control to ensure they were aligned with current best practice guidelines and legislation.
  • The practice had not undertaken an infection control audit nor provided relevant training for their staff.

The practice was issued with a requirement notice for improvement.

Following this inspection the practice sent us information that outlined the actions they intended to take to improve, and the date they would be implemented. We were then provided with evidence that the practice had implemented the required improvements.

To follow-up on our previous inspection and ensure the practice had made the required improvements, we carried out a desk-based inspection of the Rahman Practice on 24 February 2016, based on the information they sent us after the inspection.

Our key findings during this desk-based follow-up inspection were as follows:

  • The practice provided evidence of their recruitment checks, their revised recruitment policy and induction procedure.
  • Evidence that patients had access to emergency oxygen and a newly purchased defibrillator (which provides an electric shock to stabilise a life threatening heart rhythm).

  • Reviewed and updated practice policies were sent to us showing they now met current best practice guidance and legislation. They also identified the practice lead for example; the infection control lead and the safeguarding lead.
  • The practice provided evidence of regular infection control risk assessment audits and that relevant staff had received training in infection control procedures.

  • Chaperones had received training and DBS checks.

We were therefore satisfied the provider had made all of the improvements identified as a result of the inspection on 15 September 2015.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 15/09/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rahman Practice, Canvey Village Surgery on 15 September 2015.

Overall we found the practice to be good. Specifically, we found the practice was good for effective, caring, responsive and well-led services, and requires improvement for providing safe services. The concerns which led to these rating apply to everyone using the practice, including all the population groups.

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

  • Documentation regarding complaints and safety incidents were recorded and discussed in practice meetings; however complaints, safety risks and incidents were not reviewed to check for trends or recurrent themes.

  • Information was available in the waiting room and on the practice website about how to complain.
  • Care was planned and assessments of the patients’ needs followed best practice guidance.
  • Staff had received training appropriate for their roles and any further training requirements were identified at their appraisals and planned.

  • Patients said they were treated with care, dignity and respect and they were involved in the decisions about their care and treatment.
  • Infection control cleaning procedures were completed to a satisfactory standard. Although the practice policy for infection control was out of date.
  • The practice had up to date fire risk assessments and fire equipment.
  • Patients said they could make an appointment with a named GP to allow for continuity of care. Urgent appointments were also available on the same day they were requested.
  • The practice had adequate facilities and was equipped to treat patients, although they did not have oxygen available.
  • The staff felt supported by the GPs and the practice management.
  • The practice proactively sought feedback from patients, which it acted on.

However there were areas where the provider must make improvements:

Importantly the provider must:

  • Undertake recruitment checks prior to staff members starting their employment. For example; proof of identification, reference, qualifications, registration with the appropriate professional body and the appropriate checks through the ‘Disclosure and Barring Service’ (DBS) when needed.

  • Provide access to emergency oxygen for patients.

  • Review and bring up to date the practice policies and procedures to ensure they are aligned with current guidelines and legislation. This includes the policy, auditing and staff training arrangements as they relate to infection control.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice