This practice is rated as Good overall.

We carried out an announced focused inspection at Dr Gurkirit Kalkat on 29 March 2019 as part of our inspection programme.

At this inspection we found:

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We rated the practice as good for providing effective and well-led services because:

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Formalise interim leadership contingency arrangements, to cover unexpected long term unplanned absence of the lead GP.
• Continue to review and improve rates of childhood immunisations for children aged two.

Dr Rosie Benneyworth BS BM BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Gurkirit Kalkat on 17 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.
• 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.
• 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.

We saw two areas of outstanding practice:

• The practice displayed effective collaborative working with its patient participation group (PPG). The chair of the PPG described good communication and close cooperation between the practice and the PPG. For example, the practice had initiated a befriending group and suggested the PPG ran the project. From this project the PPG members started to hold coffee mornings twice a week at a centre adjacent to the practice. The practice then sign posted people, such as elderly or isolated people, to use this service.

• The practice held a special emergency fund which was used to assist patients in need. For example, support had been given through this fund to assist patients to buy food. At Christmas time the practice distributed puddings to patients aged over 75 along with health information about keeping warm during winter. They had also supplied food hampers to their most needy patients as identified by the practice and the integrated care team.

The areas where the provider should make improvement are:

• Regular fire drills should be carried out.

• The provider should take all reasonable measures to review and identify the number of carers within its patient list to ensure all patients who are carers receive the appropriate level of support.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice