- GP practice
Dr V Paramanathan's Practice
Assessment report published 29 September 2026
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
We looked for evidence that staff protected people from avoidable harm and made sure care was delivered from environments that were clean and well maintained. At our last assessment, we rated this key question as good. At this assessment, the rating remains the same.
This service scored 72 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe systems, pathways and transitions
We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safeguarding
We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.
Involving people to manage risks
We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe environments
The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.
The service had contracts to ensure the premises was maintained. Staff and leaders completed health and safety risk assessments and undertook audits to ensure they had identified and addressed all risks. The most recent health and safety, fire safety and Legionella risk assessments had been completed in June 2026. The service had addressed some of the identified actions and was making progress in addressing the outstanding areas.
The service had a business continuity plan which was regularly reviewed and outlined how the service should continue to operate in the event of a disruption.
Safe and effective staffing
The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. However, gaps were identified within staff recruitment records.
The service had not historically followed safe recruitment procedures when employing some staff prior to 2018. Gaps were identified in some recruitment records, including immunisation records, induction documentation, references and employment contracts. The service was aware of these gaps and had recorded them on a risk register. Steps had been taken to obtain missing evidence where practicable and to mitigate associated risks. One staff member did not have an up-to-date Disclosure and Barring Service (DBS) check at the appropriate level for their new role. The correct level of DBS check was applied for during the inspection.The service employed a range of clinical and non-clinical roles, which included GPs, nurses and health care assistants. Leaders ensured staff were up to date with their training which the service had deemed mandatory and operated within their agreed areas of competence.
Infection prevention and control
The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.
The service had cleaning schedules available, which outlined how staff should clean the building and its equipment. The service demonstrated how these were monitored for completion to maintain oversight of cleaning arrangements. During our onsite visit, the service's premises and a sample of equipment reviewed was noted to be visibly clean. The service’s infection prevention and control lead conducted regular risk assessments and audits to ensure compliance and took action where necessary to mitigate any identified risks. Staff had completed relevant training in infection prevention and control.
Medicines optimisation
We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.