Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Maung and Partners on 5 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.

The areas where the provider should make improvement are:

• Review the current system in place for monitoring and disseminating any alerts that the practice receive to provide assurances that all relevant staff are aware of them.
• Review and update procedures and guidance.
• Ensure all staff are aware of the business continuity contingency plans in the event of a major incident.
• Put in place a system to monitor and regularly review QOF data.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

The practice had a detailed register which they regularly reviewed and updated for the support of patients at the end stages of their life. The practice was working with the Gold Standards Framework. This is an evidence based approach to improving the support and palliative care of patients nearing the end of their life. It is nationally recognised as good practice by organisations such as the British Medical Association (BMA) and the Royal College of Nursing (RCN). Staff described how they worked in partnership with a selection of key personnel including district nurses and Macmillan nurses to help support 'end of life care'. The practice worked well with other agencies to support the continuity of care for their patients.

The practice had appropriate equipment for use in emergencies. This included an automated defibrillator, an emergency drugs kit and oxygen. Vaccinations were stored securely in a locked fridge. Records showed the practicenurse regularly checked the emergency equipment and that emergency drugs were in date. The practice had appropriate procedures in place to keep patient's safe.

Patients comments overall were very positive about their care and treatment and included:

"I like having the same GP they know all my family, it makes a big difference"; "We have used the oncall number it was fine" and "We get a call about our flu jab every year we never miss, its a good thing to have."

We reviewed the information available to us about Dr Khaing Surgery on 30 April 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.