• Doctor
  • GP practice

Archived: Dr Rajinder Sood Also known as Dr. Rajinder K Sood

Overall: Good read more about inspection ratings

132 Upper Commercial Street, Batley, West Yorkshire, WF17 5DH (01924) 471115

Provided and run by:
Dr Rajinder Sood

Latest inspection summary

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Background to this inspection

Updated 10 June 2016

  • Dr Rajinder Sood provides primary care services under a Personal Medical Services (PMS) contract to 2462 patients in Batley and Gomersal. The practice also provides a minor surgery service and hosts midwifery clinics. All childhood immunisations are provided by local community provider Locala.
  • The area is in the third decile of deprivation with female life expectancy at 81 years (England 83 years) and male life expectancy at 78 years (England 79 years). Twenty one per cent of the patients are from black minority ethnic populations.
  • Services are provided from the main surgery located in the grounds of Batley Health Centre and a branch surgery, York House, 284a Oxford Road, Gomersal WF17 5DH which is co-owned and shared with another GP practice. Both locations have parking and all services are provided at ground floor level.
  • There are two male GP partners, a female practice nurse, a practice manager who undertakes 11 hours in a health care assistant and phlebotomy role per week, a reception manager and a team of administrative staff.
  • The main surgery is open between 8am and 6pm Monday to Friday. Appointments are from 9am to 11am and 2.30pm to 5.30pm Mondays, 9am to 11am and 4.30pm to 7.30pm Tuesdays, 9am to 11am Wednesdays, 9am to 11am and 2pm to 4pm Thursdays and 8.30am to 11.30am and 2.30pm to 6pm Fridays.
  • The branch practice at Gomersal is open 12pm to 1pm Mondays, 3.30pm to 4.30pm Wednesdays and 12pm to 1pm Thursdays. When the branch practice is closed telephone calls are directed through to the main surgery. Patients can attend either location.
  • Extended surgery hours appointments are offered to 7.30pm on Tuesdays and from 8.30am on Fridays at the main surgery.
  • When the practice is closed out-of-hours services are provided by Local Care Direct, which can be accessed via the surgery telephone number or by calling the NHS 111 service.

Overall inspection

Good

Updated 10 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rajinder Sood on 30 March 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 there were systems in place for reporting and recording serious significant events. However, minor events were not reported and recorded.
  • Not all staff who acted as chaperones had received a Disclosure and Barring Service check (DBS check). The practice manager gave assurance that this would be undertaken.
  • 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.
  • Feedback from patients about their care and treatment was consistently and strongly positive. We received 42 comment cards which were all very positive about the standard of care received. Many patients commented that they found it easy to access services and that staff were courteous, helpful and accommodating. Many commented that the premises were always comfortable and clean.
  • 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.
  • 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.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought 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 practice sought patient views how improvements could be made to the service, through the use of patient surveys, the NHS Friends and Family Test and the patient participation group; particularly in relation to improving access.
  • Risks to patients who used services were assessed. However we found during the inspection that access to emergency medicines and oxygen needed to be reviewed. Following on from the inspection day the practice provided evidence that these issues had been addressed.

The areas where the provider should make improvement are:

  • Report, record review and investigate all incidents affecting the health, safety and welfare of people using services.
  • Ensure all clinical staff have the knowledge to carry out assessments of capacity to consent when providing care and treatment for children 16 years or younger, in line with relevant guidance.
  • Ensure that written consent is obtained for minor surgery procedures.
  • Review processes for following up children who fail to attend hospital appointments.
  • Ensure that changes to patient care plans are routinely recorded on the Electronic Palliative Care Co-ordination Systems (EPaCCS)

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 10 June 2016

The practice is rated as good for the care of people with long-term conditions.

  • Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
  • 95% of patients on the diabetes register, had a record of a foot examination and risk classification within the preceding 12 months compared to the national average of 88%.
  • 95% of patients diagnosed with chronic obstructive pulmonary disease had received a review in the preceding 12 months, compared to the national average of 90%.
  • Longer appointments and home visits were available when needed.
  • All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

Good

Updated 10 June 2016

The practice is rated as good for the care of families, children and young people.

  • There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of accident and emergency (A&E) attendances. Immunisation rates were relatively high for all standard childhood immunisations.
  • 81% of patients with asthma, on the register, had an asthma review in the preceding 12 months which was higher than the national average of 75%.
  • Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
  • 94% of women aged 25-64 whose notes record that a cervical screening test had been performed in the preceding five years which was higher than the national average of 82%.
  • Appointments were available outside of school hours and the premises were suitable for children and babies.
  • We saw positive examples of joint working with midwives, health visitors and school nurses. The practice hosted midwifery clinics on Tuesday mornings.
  • The practice offered weekly Young Person Friendly Sexual Health Services for young people aged 15 years and above who required advice regarding sexual health matters and contraceptive advice.

Older people

Good

Updated 10 June 2016

The practice is rated as good for the care of older people.

  • The practice offered proactive, personalised care to meet the needs of the older people in its population.
  • The practice worked closely with other health and social care professionals, such as the district nursing team, to ensure housebound patients received the care they needed.
  • The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
  • Seventy eight per cent of of people aged 65 or over received a seasonal flu vaccination which was higher than the national averages of 73%.
  • The percentage of older people attending for screening programmes was comparable to national averages. For example, 68% of females aged 50-70 were screened for breast cancer within 6 months of invitation which was equal to the national average.

Working age people (including those recently retired and students)

Good

Updated 10 June 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

  • The practice offered extended hours access. Early morning and evening appointments were available.
  • The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
  • The practice was proactive in offering online services including online appointment booking and electronic prescriptions as well as a full range of health promotion and screening that reflects the needs for this age group.

People experiencing poor mental health (including people with dementia)

Good

Updated 10 June 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

  • 94% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the preceding 12 months, which was better than the national average of 84%.
  • 90% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive, agreed care plan documented in the record in the preceding 12 months compared to the national average of 88%.
  • The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
  • The practice carried out advance care planning for patients with dementia.
  • The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
  • The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
  • Staff had received additional dementia friends training and had a good understanding of how to support patients with mental health needs and dementia.

People whose circumstances may make them vulnerable

Good

Updated 10 June 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

  • The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.
  • The practice offered longer appointments for patients with a learning disability.
  • The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
  • The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
  • Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.
  • The practice identified carers and information was available to local carer support organisations