This practice is rated as Good overall. (Previous inspection August 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Dr Lalit Gurnani practice on 16 May 2018 this inspection was carried out as part of our inspection programme.

At this inspection we found:

• The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• Patients commented positively on the care received by the practice.
• Staff reported there was high staff morale and low turnover of staff.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw one area of outstanding practice:

• The practice had streamlined the process for patients with multiple long-term conditions that included a named GP responsible for coordinating all tests needed and carrying out their review in one consultation. This had resulted in improvements in the monitoring system and a more efficient use of clinical time.

The areas where the provider should make improvements are:

• Review the opening times to the practice in response to GP National Patient Survey results.
• Review how complaints investigation information is recorded to support any identified learning and actions.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Lalit Gurnani on the 20 August 2015. Overall the practice is rated as good.

Our key findings were as follows:

• There were systems in place to mitigate safety risks including analysing significant events and safeguarding.
• The practice was clean and tidy. The practice had good facilities in a purpose built building with disabled access and a lift to their first floor consulting rooms.
• The practice nurse proactively sought to educate patients to improve their lifestyles by regularly inviting patients for health assessments, encompassing healthy lifestyles.
• Patients spoke highly about the practice and the whole staff team. They said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The practice sought patient views about improvements that could be made to the service, including having a patient participation group (PPG).
• Information about services and how to complain was available and easy to understand.
• There was a clear leadership structure and staff felt supported by management. The staff worked well together as a team.
• Quality and performance were monitored.
• Longstanding support of local charities has resulted in the practice staff raising £2,000 each year through fund-raising activities for local charities including St Luke’s Hospice.

We saw areas of outstanding practice including:

• The practice held regular meetings and discussed anonymised significant events. They discussed significant events and complaints at PPG meetings and with other members of the multi-disciplinary teams such as district nurses to raise awareness and to show transparency in their management of risks and learning from events.

However there were areas of practice where the provider should make improvements.

Action the provider SHOULD take to improve:

• The provider should implement and update care plans for all patients identified at risk of unplanned admission to hospital.

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice