Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Mohan Saini practice on 25 February 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.
• Patient Group Directions (PGD) had been adopted by the practice to allow nurses to administer medicines in line with legislation.
• The practice had a system for the management of clinical waste, however on the day of the inspection it was not stored securely.
• Document management processes were not effective, staff were unable to identify where they would locate some of the policies and procedures.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment. Staff had received training appropriate to their roles.
• 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.
• Patients said they found it easy to make an appointment with a named GP and that 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 GP had developed tools to support patients experiencing poor mental health. medication review template and a patient information template to educate and support patients.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We saw areas of outstanding practice including;

The practice had a higher than average number of young patients. The GP had developed a face book page that they updated and monitored to improve communication with this population group. The page included information on health lifestyle and developments to services in the practice that would affect them. There were 400 followers.

The areas where the provider should make improvement are:

• Implement a robust system for managing policies and procedures.
• Ensure clinical waste is managed and stored safely.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice