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Primecare - Dr S & N Ratneswaren Good

Reports


Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Primecare - Dr S & N Ratneswaren on 8 July 2021. 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 Primecare - Dr S & N Ratneswaren, you can give feedback on this service.

Review carried out on 6 March 2020

During an annual regulatory review

We reviewed the information available to us about Primecare - Dr S & N Ratneswaren on 6 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 25 July 2018

During an inspection looking at part of the service

We previously carried out an announced comprehensive inspection at Primecare - Dr S & N Ratneswaren on 14 August 2017.Overall the practice was rated as good.

The full comprehensive report on the 14 August 2017 inspection can be found by selecting the ‘all reports’ link for Primecare - Dr S & N Ratneswaren on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 25 July 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 14 August 2017.

At our previous inspection on 14 August 2017, we rated the practice as requires improvement for providing safe services as care and treatment was not provided in a safe way to patients.

In addition, there were areas identified at the last inspection where the provider should have made improvements:

  • Maintaining up to date and accurate records of staff training and appraisals.

  • Reviewing how staff code immunisations in patient records so accurate data is maintained.

  • Review the provision of appointments to determine if patient needs are being met.

  • Take into consideration the outcomes of the national patient survey.

  • Review how verbal complaints are recorded; and how easy the complaints procedure is to navigate for patients.

This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

At this inspection we found that services were provided to patients in a safe way. The practice is now rated as good for providing safe services.

Our key findings were as follows:

  • The provider had addressed all the issues that led to the breaches of regulations at their last inspection.

  • The practice maintained up to date and accurate records of staff training and appraisals.
  • Staff appropriately coded immunisations in patient records to maintain accurate data.
  • The practice conducted a patient survey to review the provision of the service provided.
  • Improvements were made in response to the outcomes of the national patient survey.
  • The practice reviewed how verbal complaints are recorded.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection carried out on 14 August 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Primecare - Dr S & N Ratneswaren on 14 August 2017. 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 a system in place for reporting and recording significant events.
  • Although risks to patients were assessed, the systems to address these risks were not implemented well enough to ensure patients were kept safe.
  • Staff were aware of current evidence based guidance.
  • Staff had access to a range of training courses however we saw that not all staff had undergone training in key areas such as infection prevention and control and fire safety. We were unable to establish the dates of some of the safeguarding training carried out by staff.

  • Data from the Quality and Outcomes Framework showed patient outcomes were mainly comparable to the national average. However, the practice fell below average for three out of four childhood immunisation indicators.

  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment. Staff at the practice however had not reviewed the survey outcomes.

  • Information about services and how to complain was available, however the practice was not appropriately recording verbal complaints and its complaints process was not easy to navigate.
  • Patients we spoke with said they could usually get an appointment when they wanted to; however, a minority of the CQC comment cards we received commented on difficulties in getting an appointment and that it was not always possible to have continuity of care.

  • Feedback from a local care home was positive about the GP service provided to their residents.

  • The practice had adequate facilities and was equipped to treat patients and meet their needs. There were accessible facilities, which included a hearing loop; and interpretation services were available.

  • 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
  • The practice had a clear vision and strategy to deliver high quality care and promote good outcomes for patients. Staff were clear about the vision and their responsibilities in relation to it.

The areas where the provider must make improvement are:

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

The areas where the provider should make improvement are:

  • Maintain up to date and accurate records of staff training and appraisals.

  • Review how staff code immunisations in patient records so accurate data is maintained.

  • Review the provision of appointments to determine if patient needs are being met.

  • Take into consideration the outcomes of the national patient survey.

  • Review how verbal complaints are recorded; and how easy the complaints procedure is to navigate for patients.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice