10 February 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr BB Jas Practice on 10 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed with infection prevention control and fire risk assessments.
- Medicines were managed safely and prescribing behaviour monitored to ensure safe and effective practise.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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 how to make a complaint was readily accessible. The practice investigated verbal and written complaints in a timely and appropriate manner. They acknowledged areas for improvement and shared learning.
- Patients said they found it easy to make an appointment with a named GP and that 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.
- The practice valued and invested in their staff. They believed in clear communication, open working relationships and staff retention in order to deliver continuity of patient care.
- There was a clear leadership structure and staff felt supported by management. The practice valued feedback from staff and patients which it acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
The areas where the provider should make improvement are:
- Ensure the practice maintains cleaning records to demonstrate when, where and how rooms had last been cleaned.
- Seek wider views from patients in relation to the services provided and respond to it accordingly.
- Maintain records of clinical discussions, decisions, actions assigned and an audit trail for completion.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice