The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr George Bhima Also known as Dr Bhima Surgery

Overall: Good read more about inspection ratings

1st Floor, Nye Bevan House, Maclure Road, Rochdale, Lancashire, OL11 1DN (01706) 261810

Provided and run by:
Dr George Bhima

Important: The provider of this service changed. See new profile

All Inspections

21 July 2023

During an inspection looking at part of the service

We carried out an announced focused inspection at the practice of Dr George Bhima on 21 July 2023. Overall, the practice is rated as good with the following ratings for all key questions:

Safe - good

Effective – inspected but not rated, rating of good carried forward from previous inspection.

Caring – not inspected, rating of good carried forward from previous inspection.

Responsive – not inspected, rating of good carried forward from previous inspection.

Well-led – not inspected, rating of good carried forward from previous inspection.

Following our previous inspection on 25 October 2022 the practice was rated good overall and for the key questions effective, caring, responsive and well led but requires improvement for providing safe services.

At this inspection we found the practice had made improvements in the areas previously identified.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr George Bhima on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection to follow up concerns from a previous inspection.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Requesting evidence from the provider.
  • A short site visit when we also looked at aspects in the key question effective regarding audits and improvements in patient care.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider.

We found that the provider had:

  • Developed an audit programme and completed cycles of audits to demonstrate improvements in patient care.
  • Followed and embedded the new system to track referrals, especially 2 week wait referrals to ensure patients received and attended appointments.
  • Reviewed the policy on actioning pathology results during staff absences to mitigate the risk of an abnormal result not being actioned in a timely manner.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

25 October 2022

During an inspection looking at part of the service

We carried out an announced comprehensive at the practice of Dr George Bhima on 25 October 2022. Overall, the practice is rated as good.

Safe – Requires improvement

Effective - Good

Caring – Not inspected, rating of good carried forward from previous inspection

Responsive - Not inspected, rating of good carried forward from previous inspection

Well-led – Good

Following our previous inspection on 27 April 2016, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr George Bhima on our website at www.cqc.org.uk

Why we carried out this inspection

We undertook this inspection due to the length of time since the last inspection. This included focusing on the key questions safe, effective and well led. Caring and responsive were not inspected.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Carry out its plan to develop an audit programme and complete cycles of audits to demonstrate improvements in patient care.
  • Follow and embed the new system to track referrals, especially 2 week wait to ensure patients receive and attend appointments.
  • Review the policy on actioning pathology results during staff absences to mitigate the risk of an abnormal result not being actioned in a timely manner.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

.

27 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the practice of Dr George Bhima on 27 April 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 an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and 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.

We saw areas of outstanding practice

The GP carried out follow up home visits at weekends and bank holidays to those patients that were ill and/or vulnerable who would benefit from a visit.

When the surgery was due to be closed for bank holidays the practice contacted all patients over the age of 75 to ask if they had enough medication and offered a call from the GP.

However there was one area where the practice should make improvements:

The practice should complete the task of obtaining DBS checks for those staff acting as chaperones.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice