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Archived: Dean House Surgery Good

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Reports


Review carried out on 24 August 2019

During an annual regulatory review

We reviewed the information available to us about Dean House Surgery on 24 August 2019. 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 28 April 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Sajida Choudhry (Dean House Surgery) on 9 March 2016. The overall rating for the practice was Good. The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Dean House Surgery (Dr Sajida Choudhry) on our website at www.cqc.org.uk.

At our previous inspection on 9 March 2016, we rated the practice as requires improvement for providing safe services as the practice had not conducted a risk assessment for not having a defibrillator at the practice. In addition, the practice had no system for monitoring the usage of prescription pads.

This inspection was an announced focused inspection carried out on 28 April 2017 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 9 March 2016. 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 the practice had purchased a defibrillator and that a system of monitoring usage of prescription pads had been introduced. As a result of these findings, the practice is now rated as good for providing safe services.

Overall the practice is still rated as Good.

Our key findings were as follows:

  • The practice had the required equipment in the event of a medical emergency.
  • The practice had introduced a system of keeping a log of the serial numbers of prescription to monitor the usage of prescription pads held at the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 9 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dean House Surgery on the 9 March 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.
  • Identified risks to patients were assessed and well managed.
  • No risk assessment had been conducted regarding not having access to a defibrillator at the practice.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance, however there were some instances where this guidance was not passed on. Staff had 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.
  • Patients said 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 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 areas where the provider must make improvements are:

  • Conduct a written risk assessment regarding not having access to a defibrillator.
  • To secure and monitor the usage of prescription pads within the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice