We carried out an announced inspection at Dr Shobha Vallabhaneni & Partners – Medicentre on 7 April 2022. Overall, the practice is rated as Good with the following key question ratings:
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Why we carried out this inspection
This was a full comprehensive inspection due to changes to the registration and location of the practice.
How we carried out the inspection/review
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection included:
- A site visit by the Lead inspector.
- Conducting staff interviews remotely and on site.
- Staff completing questionaires.
- Completing clinical searches remotely on the practice’s patient records system and discussing findings with the provider.
- Reviewing patient records remotely to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
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 have rated this practice as Good overall.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. 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-centre care.
Whilst we found no breaches of regulations, the provider should:
- More fully document in the clinical record when a medication review or a review of patients with a long-term condition has taken place.
- Continue to catch up medication reviews for patients where recall has lapsed due to the pandemic.
- Review and monitor the process for acting on safety alerts, to minimise the risk of any patients not receiving the required monitoring required for the medicines they are prescribed.
- Monitor the system implemented in relation to patients with diabetes, making sure these are embedded and maintained.
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