Archived: Dr George and Dr Rajcholan

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr George and Dr Rajcholan Practice on Tuesday 3 November 2015. Overall the practice is rated as good.

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded. However information recorded was not sufficient to confirm that significant occurrences were appropriately reviewed and monitored to demonstrate improvement.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.
• Clinical staff had received training appropriate to their roles and further training needs had been identified and planned.
• 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 that although they had to wait 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 was well equipped to treat patients and meet their needs.
• There was a leadership structure. The patient participation group felt the practice could be more encouraging and supportive in ensuring they were involved in the improvement and future plans for the practice.

There are areas where the provider needs to make improvements in particular the provider should:

• Ensure that records of significant occurrences provide sufficient information to show that they are appropriately reviewed and monitored to demonstrate improvement.
• Have a system in place to record, investigate and demonstrate the outcome of verbal complaints received.
• Complete the process of ensuring staff have a criminal records check through the Disclosure and Barring Service (DBS) where appropriate.
• Ensure that two cycle clinical audits are completed that demonstrate any improvements for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice