Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Mumuksh Patel on 5 January 2016.The overall rating for the practice was requires improvement. The full comprehensive report can be found by selecting the Dr Mumuksh Patel ‘all reports’ link for on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 16 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 5 January 2016. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

Overall the practice is now 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.

• The practice had clearly defined and embedded systems to minimise risks to patient safety.

• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.

• Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.

• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.

• Patients we spoke with 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

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 Mumuksh Patel on 5 January 2016. Overall the practice is rated as requires improvement.

• There was an open and transparent approach to safety and a system in place for reporting and recording significant events. However not all incidents that occurred were always reported.

• Most risks to patients were assessed and well managed, with the exception of dealing with emergencies.

• 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.
• There was no evidence that completed clinical audit was driving improvement in performance to improve patient outcomes.
• 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. However the practice had scored low on responses related to satisfaction with the practices opening times.

• The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider must make improvements are

• Ensure that all incidents are recorded and investigated in accordance with practice policy and procedure.

• Ensure the decision not to have an AED on site is formally risk assessed.

• Ensure that regular fire drills are undertaken and staff are adequately trained and updated in Fire safety.

• Ensure clinical staff receive appraisal as is necessary to enable them to carry out the duties they are employed to perform.

In addition the provider should:

• Ensure they provide patients with health information resources and leaflets.

• Ensure they maintain a record of discussions and decisions from Multi-disciplinary and team meetings.

• Carry out clinical re-audits to improve patient outcomes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice