We carried out a review of the data available to us about Hanford GP on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Hanford GP, you can give feedback on this service.
We carried out an announced focused inspection at Drs Shah & Talpur on 17 October 2017.
Overall the practice is now rated as Good.
The practice had previously been inspected on 12 April 2017. Following this follow-up comprehensive inspection the overall rating for the practice was good with requires improvement for safe services. A breach of legal requirements was found and a requirement notice was served. The practice provided us with an action plan detailing how they were going to make the required improvements in relation to:
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) 2014: Fit and proper persons employed.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Drs Shah & Talpur on our website at www.cqc.org.uk.
Our key findings were as follows:
Appropriate staff recruitment checks had been carried out.
The provider had reviewed and assessed the risks of not carrying emergency medicines in GP bags for use during home visits.
A business plan had been developed to reflect the vision and values for the team to work towards.
Action taken to address any improvements as a result of infection control audits had been documented.
We also saw the following best practice recommendations we previously made in relation to providing well-led and responsive services had been actioned:
A clear and documented strategy and supporting business plan to reflect the vision and values for the team to work towards had been developed.
An analysis of complaints to identify any common trends had been undertaken to improve the quality of care provided and the outcome shared with staff during a meeting held.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Drs Shah & Talpur on 12 April 2017. Overall the practice is now rated as Good.
The practice had previously been inspected on 1 August 2016. Following this comprehensive inspection the overall rating for the practice was Requires Improvement. A total of three breaches of legal requirements were found and three requirement notices were served. The practice provided us with an action plan detailing how they were going to make the required
improvements in relation to:
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014: Safe care and treatment.
Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014: Good Governance.
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) 2014: Fit and proper persons employed.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Drs Shah & Talpur on our website at www.cqc.org.uk.
Our key findings were as follows:
The areas where the provider must make improvements are:
Ensure recruitment arrangements include all necessary employment checks for all staff.
In addition the provider should:
Develop a policy and assess the risks of not carrying medicines for use in acute situations on home visits and mitigate the risks to patients.
Develop a clear and documented strategy and supporting business plan to reflect the vision and values for the team to work towards.
Document action taken to address any improvements identified as a result of infection control audits.
Complete an analysis of complaints to identify any common trends to improve the quality of care provided.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Drs Shar & Talpur on 1 August 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
Patients were positive about their interactions with staff and said they were treated with compassion and dignity.
Staff were supported in their professional development and were provided with opportunities to undertake and obtain qualifications appropriate to their work.
Staff had received training in safeguarding children but not all staff had received training in safeguarding adults, including two GP’s. Safeguarding concerns had not consistently been acted on or shared to ensure vulnerable patients were protected from the risk of potential harm.
Significant events had been actioned but one had not been recorded. Regular reviews of significant events had not been carried out to identify trends.
Governance arrangements were not sufficiently robust to ensure effective governance within the practice. The practice had a number of policies and procedures to govern activity, but these were not routinely accessible to all staff.
Arrangements for identifying, recording and managing risks, issues and implementing mitigating actions were not always robust.
Urgent appointments were available on the same day. Patients told us they found it easy to get an appointment.
Staff felt supported in their work by the management team.
Complaints received were managed but the documentation of complaints lacked detail. There was no regular analysis carried out to identify any common trends.
The areas where the provider must make improvements are:
Introduce processes for ensuring all significant events, incidents and near misses are recorded, discussed and audited to maximise learning.
Ensure all safeguarding concerns are managed and recorded effectively and acted upon.
Ensure that accurate and required records are kept of staff members’ suitability for employment and have oversight of the training they have undertaken.
Implement a consistent system to log, review, discuss and act on patient safety alerts received.
Ensure recruitment and all necessary pre-employment checks are carried out for all staff including locum staff.
Ensure all Patient Group Directions (PGD’s) are signed by individual practitioners.
Risk assess the need for inclusion of atropine within the emergency drugs kit for use in the event of cervical shock when performing a coil fitting as per best practice guidance.
In addition the provider should:
Implement a robust process to check that patients on high risk medicines are being monitored before issuing prescriptions.
Improve the process of clinical audits to include re-audits to demonstrate quality improvement to patient care.
Improve the recording of complaints and identification of trends.
Ensure patients that have a ‘do not attempt cardio-pulmonary resuscitation’ (DNACPR) directive are known to staff, identified on the system and information shared with relevant external partners.
Ensure all staff and partners are familiar with Gillick competency and Fraser guidelines, the term used to decide whether a child (16 years and younger) is able to consent to their own medical treatment, without the need for parental permission or knowledge.
Ensure practice policies are accessible to all staff.
Maintain consistent records of meetings to clearly demonstrate the discussions and actions taken to address safety incidents (significant events, complaints, NICE guidelines etc.) over the long term.
Consider a documented business plan to support the practice vision and future strategy.
Chief Inspector of General Practice