We carried out an announced comprehensive inspection of Dr Chandrakant Patel on 16 January 2017. The overall rating for the practice was good. However, the rating for the practice providing safe services was requires improvement; this is because we found an area where the practice must improve and three areas where the provider should improve. After the comprehensive inspection, the practice sent us evidence and actions detailing what they would do to meet the legal requirements. The full comprehensive report for our 16 January 2017 inspection can be found by selecting the ‘all reports’ link for Dr Chandrakant Patel on our website at www.cqc.org.uk.

This inspection was an announced focused inspection which we carried out on 22 February 2018 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations and the areas it should improve identified in our previous inspection. This report covers our findings in relation to those requirements and the improvements made since our last inspection.

The practice is now rated as good for providing safe services and remains rated as good overall.

Our key findings were as follows:

• The practice had completed all outstanding actions from an external infection control audit carried out in 2014, and there were appropriate arrangements to assess, monitor and mitigate risks to patients’ safety concerning infection control.

• The practice had taken steps to avoid the medicines refrigerator being turned off accidentally.

• There was evidence that the practice had discussed and learned from significant events.

• Patients with caring responsibilities were identified and recorded on the clinical system, and information, advice and support was made available to them.

• The practice was aware of the most recent national GP patient survey results and we saw evidence that they had undertaken their own patient survey which demonstrated improvement.

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 Chandrakant Patel surgery on January 16 2017. 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 a system in place for reporting and recording significant events, however learning from significant events was not evident.

• The practice had clearly defined and embedded systems, processes and practices in place to keep patients safe and safeguarded from abuse, however improvements were needed in relation to infection control.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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. 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.
• 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 area where the provider must make improvement is:

• Assess, monitor and mitigate risks to patient’s safety concerning infection control.

The areas where the provider should make improvements are:

• Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.

• Ensure learning from significant events are clear and evident.

• The provider should review their current system in place to avoid the fridge being turned off accidentally.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice