5 December 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 of Dr Ravinder Kooner on 24 March 2016. The overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. This was because the provider did not have a defibrillator available at the practice or an appropriate risk assessment to indicate how they would deal with a medical emergency; there was no practice policy or clear system in relation to safeguarding vulnerable adults and the practice did not have a range of health and safety risk assessments for the premises.
The full comprehensive report can be found by selecting the ‘all reports’ link for Dr Ravinder Kooner on our website at www.cqc.org.uk.
This inspection was an announced focussed inspection carried out on 5 December 2017 to confirm that the practice had met the legal requirements in relation to the breach in regulation 12 that we identified in our previous inspection on 24 March 2016. No action plan was sent following the breach in legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made.
Overall the practice is rated as good. However, the practice was still found to be requires improvement for providing safe services.
Our key findings were as follows:
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The practice had access to an automated external defibrillator (AED) for use in medical emergencies.
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The practice had a policy for safeguarding vulnerable adults, but the process for escalating concerns was unclear. Non-clinical staff had received training appropriate to their roles, but three GPs had not undertaken safeguarding adults training to the required level 2.
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The practice had completed a fire risk assessment but actions had not been completed.
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The practice did not have other appropriate risk assessments to keep people safe; including health and safety of the premises, hazardous substances and legionella.
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Quality and Outcomes Framework (QOF) exception reporting rates for patients with mental health and dementia had improved. Results for 2016/17 demonstrated exception reporting was in line with local and national averages.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice