Dr J.R. Naik and Partners

We carried out an announced comprehensive inspection at Dr J.R. Naik and Partners (also known as The Oaks Medical Centre between 3 and 7 October 2022. Overall, the practice is rated as Good.

The ratings for each key question are as follows:

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

The practice has not been inspected under their current registration with the Care Quality Commission (CQC). In 2019 the practice joined Our Health Partnership (OHP) which is a large provider organisation. Prior to joining OHP and under a previous registration the practice was inspected in November 2016 and 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 J.R. Naik and Partners on our website at www.cqc.org.uk

Why we carried out this inspection

The inspection was a comprehensive inspection of Dr J.R. Naik and Partners under a new provider registration to rate the service.

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 found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Safeguarding arrangements had been developed to help support and protect the practice’s most vulnerable patients.
• Infection prevention and control measures were in place to minimise the risks to patients.
• The premises appeared well maintained and there were systems for managing the health and safety of staff and patients although oversight was not always evident.
• The practice learned from incidents and had implemented systems for sharing learning with staff and minimising the risk of reoccurrence.
• Our clinical searches found medicines and long-term conditions were generally well managed and followed up, with few areas for review.
• Patients received effective care and treatment that met their needs.
• The practice was involved in quality improvement of the services however, learning from audits undertaken was not always evident.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care. There was a strong focus on supporting those with caring responsibilities.
• 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-centred care.

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

• Improve oversight for all aspects of health and safety across the main and branch sites.
• Address any issues identified during our clinical searches of medicines and long-term conditions that require follow up.
• Improve shared learning and improvement through clinical audit.

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