The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Umesh Kumar Roy

Overall: Requires improvement read more about inspection ratings

16 Fosse Road South, Leicester, Leicestershire, LE3 0QD (0116) 285 7329

Provided and run by:
Dr Umesh Kumar Roy

All Inspections

19 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr UK Roy on 19 January 2015. Overall the practice is rated as requires improvement.

Specifically, we found the practice to require improvement for providing safe and effective services. It also required improvement for providing services for all the population groups. It was good for providing a caring, responsive and well led service.

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

  • Not all staff understood their responsibilities to raise concerns, and to report incidents and near misses and the system in place for reporting incidents was not clear. Information about safety was not consistently recorded, monitored, appropriately reviewed and addressed.
  • The practice did not have robust systems, processes and policies in place to manage and monitor risks to patients, staff and visitors to the practice.
  • Data showed patient outcomes were average for the locality. Although some audits had been started, we saw no evidence that audits were driving improvement in performance to improve patient outcomes.
  • 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.
  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies and procedures to govern activity, but there were some policies not in place.
  • The areas where the provider must make improvements are:
  • Ensure there is a robust system to manage and learn from significant events.
  • Ensure audits of practice are undertaken, including completed clinical audit cycles.
  • Ensure all staff have appropriate policies, procedures and guidance to carry out their role.
  • Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks and the quality of the service.
  • Address identified concerns with infection prevention and control..
  • Ensure confidential patient records are stored securely.

In addition the provider should:

  • Review recruitment arrangements to include all necessary employment checks for all staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

17 February 2014

During a routine inspection

On the day of our inspection we spoke with eight patients and with four members of staff including the GP. The patients were positive about their experiences with the service. One patient told us, 'The reception staff are very good and they seem to recognise if something is urgent which was really important when my children were younger. The doctor listens to what I have to say and explains what the options for treatment are. I don't think there is anything to be improved.'

We saw that care and treatment were planned and delivered in a way that met patient's needs.

We saw that care was delivered in a clean environment that helped to prevent the risk of infection to patients and staff. A patient told us,'The surgery is clean and tidy and the treatment rooms are always really clean.'

Staff received training in safeguarding (protecting vulnerable adults and children). They were aware of the appropriate agencies to refer any concerns to.

There were established quality monitoring systems in place to assess and monitor the quality of service that patients received. There were methods to obtain patient feedback and a Patient Participation Group.