Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Avinash Suri (also known as Hainault Surgery) on 10 May 2016. The overall rating for the practice was good, with the key question of ‘effective’ rated as requires improvement. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr Avinash Suri on our website at www.cqc.org.uk.

This inspection was a focused follow up inspection carried out on 2 August 2017 to confirm that the practice had carried out improvements in relation to our previous inspection on 10 May 2016.

Overall the practice rating remains as good.

Our key findings were as follows:

• Clinical audits were being used to drive improvement in performance to improve patient outcomes. The practice had completed one two-cycle audit since our last inspection.
• Data from the Quality Outcomes Framework showed patient outcomes were at or above the national average, except for some indicators for diabetes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Avinash Suri on 10 May 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.
• Risks to patients were assessed and well managed.
• Although some audits had been carried out, we saw no evidence that audits were driving improvements to patient outcomes. There had been no completed audits carried out in the 12 months prior to our inspection.
• 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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 provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

• Put systems in place so that an infection control audit of the practice takes place on an annual basis.

• Strengthen the use of systems such as clinical audit to monitor quality and to make improvements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Avinash Suri (also known as Hainault Surgery) on 10 May 2016. The overall rating for the practice was good, with the key question of ‘effective’ rated as requires improvement. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr Avinash Suri on our website at www.cqc.org.uk.

This inspection was a focused follow up inspection carried out on 2 August 2017 to confirm that the practice had carried out improvements in relation to our previous inspection on 10 May 2016.

Overall the practice rating remains as good.

Our key findings were as follows:

• Clinical audits were being used to drive improvement in performance to improve patient outcomes. The practice had completed one two-cycle audit since our last inspection.
• Data from the Quality Outcomes Framework showed patient outcomes were at or above the national average, except for some indicators for diabetes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We were able to speak with a few patients, who were very complimentary about the service they received. One patient, for example, told us they were always seen quickly when they needed an appointment with the GP, and that their repeat prescriptions were delivered efficiently.

At least 70% of respondents to the practice’s annual patient survey for 2013-14 rated the service as excellent in response to questions about ease of getting through to someone at the surgery, making appointments, and the effectiveness of the GP to meet their needs, for example.

Concerns had been expressed to the Care Quality Commission about staffing, treatment and care, infection control, and patients not being treated with respect. These concerns had triggered this inspection.

During the inspection we found patients’ privacy and dignity were respected. Patients experienced treatment and care that met their needs and there were enough suitably qualified, skilled and experienced staff. However, there had been no formalised refresher training on health and safety at work, infection control, handling patient confidential information safely, or safeguarding vulnerable adults for staff to ensure their knowledge and skills were kept up-to-date. Patients were cared for in a clean, hygienic environment.