The Care Quality Commission
  • Doctor
  • GP practice

Dr V C Tiguti & Partners

Overall: Good read more about inspection ratings

Old Road, Upper Tean, Stoke On Trent, Staffordshire, ST10 4EG (01538) 722323

Provided and run by:
Dr V C Tiguti & Partners

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr V C Tiguti & Partners on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr V C Tiguti & Partners, you can give feedback on this service.

4 Aug 2020

During an inspection looking at part of the service

We previously carried out an announced, comprehensive inspection of Dr V C Tiguti & Partners on 18 December 2019 and rated the practice as good overall and for effective, caring, responsive and well-led services. We rated the practice as requires improvement for providing safe services because:

  • Used sharps boxes had not been collected within three months after first use, even if not full.
  • When the manufacturer’s maximum temperature range had been exceeded in fridges used to store vaccines, the practice had not followed the processes detailed in their cold chain policy to ensure that vaccines were safe to administer.
  • A risk assessment had not been completed to mitigate potential risks for the storage of prescription stationery in a printer at the branch practice.
  • Changes made to procedures as a result of a significant event had not been reflected in the standard operating procedure for the dispensing of medicines.

We also made two best practice recommendations:

  • Embed into practice the newly implemented systems to review significant events over time and monitor and track Medicines and Healthcare products Regulatory Agency (MHRA) alerts.
  • Develop a clear practice vision in collaboration with staff, patients and external partners.

The full comprehensive report for the inspection in December 2019 can be found by selecting the ‘all reports’ link for Dr V C Tiguti & Partners on our website at www.cqc.org.uk.

We did not visit the practice on this occasion, but requested information from the practice and carried out an announced desk-based focused inspection on 4 August 2020. This was to confirm that the practice had implemented the required changes as identified at our previous inspection on 18 December 2019. This report covers our findings in relation to those requirements.

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

  • Information sent to us by the provider
  • Information from our ongoing monitoring of data about services.

We have rated this practice as good in safe and overall.

We found that:

  • A system was in place for checking that sharps boxes were collected within three months after first use.
  • Action had been taken to ensure the safe care of patients who may have received vaccines outside of the manufacturer’s temperature range. Systems had been put in place to mitigate the risk of the issue occurring again.
  • Locks had been added to printers used for the storage of prescription stationery.
  • The standard operating procedure for the dispensing of medicines had been updated to reflect learning from a significant event.

Additional improvements had been made since our last inspection in response to best practice recommendations:

  • The newly implemented system to track MHRA alerts had been embedded into practice.
  • A clear practice vision in collaboration with staff had been developed.

The areas where the provider should make improvements are:

  • Embed into practice the systems to review significant events over time

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

18 Dec 2019

During an inspection looking at part of the service

We previously carried out an announced, comprehensive of Dr V C Tiguti & Partners on 6 February 2015 and rated the practice as good overall and in all five key questions. We made three best practice recommendations:

  • Introduce a system to check that GP prescription pads used for home visits are tracked through the practice.
  • Ensure that they follow their own standard operating procedures in the receiving of and dispensing of controlled drugs.
  • Introduce regular staff meetings to support and involve staff.

The full comprehensive report for the inspection in February 2015 can be found by selecting the ‘all reports’ link for Dr V C Tiguti & Partners on our website at .

We carried out an announced, focused inspection at Dr V C Tiguti & Partners on 18 December 2019 as part of our inspection programme. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: safe, effective and well-led. Due to assurances we received from our review of information, we carried forward the ratings of good for the following key questions: caring and responsive from our previous inspection.

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 and in effective and well-led however, requires improvement in safe. We rated each population group as good.

We rated the practice as requires improvement in safe because:

  • Used sharp’s boxes had not been collected within three months after first use, even if not full.
  • Risk assessments had not been completed to mitigate potential risks for the storage of prescription stationery in a printer at the branch practice.
  • When the manufacture’s maximum temperature range had been exceeded in fridges used to store vaccines, the practice had not followed the processes detailed in their cold chain policy to ensure that vaccines were safe to administer.
  • When changes were made to procedures as a result of a significant event, the standard operating procedure for dispensing of medicines had not been updated.
  • On the day of our inspection, systems to review trends in significant events over time were not in place. Following our inspection, the practice forwarded to us a newly implemented system whereby they would collectively record and review significant events over time.
  • An overarching record of Medicines and Healthcare products Regulatory Agency (MHRA) alerts to track actions taken by the practice over time was not in place. Following our inspection, the practice forwarded to us a newly implemented system to monitor and track MHRA alerts.

We rated the practice as good in effective because:

  • Patients received effective care and treatment that met their needs.
  • Staff had the skills, knowledge and experience to carry out their roles.
  • Staff were proactive in helping patients to live healthier lives. The practice had exceeded the 80% target for cervical cancer screening.
  • The practice obtained consent to care and treatment in line with legislation and guidance.

We rated the practice as good in well-led because:

  • Leaders demonstrated that they understood the challenges to quality and sustainability within the practice.
  • A clear practice vision was not in place however, a strategy to provide high quality care was in place.
  • Staff told us that there was an open, transparent and caring culture within the practice and that they felt supported by the management team to carry out their roles.
  • There were systems in place for reviewing patient feedback however due to patient sickness the patient participation group was currently inactive.

The areas where the provider must make improvements are:

  • Ensure care and treatment is provided in a safe way to patients

The areas where the provider should make improvements are:

  • Embed into practice the newly implemented systems to review significant events over time and monitor and track MHRA alerts.
  • Develop a clear practice vision in collaboration with staff, patients and external partners.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

6 February 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs J M Pilpel & V C Tiguti on 6 February 2015. Overall the practice is rated as good.

We found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for older people, people with long-term conditions, families, children and young people, working age people, people whose circumstances may make them vulnerable and people experiencing poor mental health.

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, monitored, appropriately reviewed and addressed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any 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.
  • 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 patients, which it acted on.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

  • Introduce a system to check that GP prescription pads used for home visits are tracked through the practice.
  • Ensure that they follow their own standard operating procedures in the receiving of and dispensing of controlled drugs.
  • Introduce regular staff meetings to support and involve staff.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice