Dr P K Mohanty and Partners, 4 Mayland Road, Witham.
Dr P K Mohanty and Partners in 4 Mayland Road, Witham is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 10th July 2019
Dr P K Mohanty and Partners is managed by Dr P K Mohanty & Partners.
Contact Details:
Address:
Dr P K Mohanty and Partners The Witham Health Centre 4 Mayland Road Witham CM8 2UX United Kingdom
We carried out an announced comprehensive inspection at Dr P K Mohanty and Partners on 26 April 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the 26 April 2017 inspection can be found by selecting the ‘all reports’ link for Dr P K Mohanty and Partners on our website at www.cqc.org.uk.
This inspection was a focused inspection carried out on 27 March 2018 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 26 April 2017. We also looked at the areas where we recommended that the practice should improve. This report covers our findings in relation to those requirements.
Overall the practice remains rated as requires improvement.
Our key findings were as follows:
The approach to safety systems and the reporting of significant events was open and honest. The learning from such events was now being shared with staff.
A new monitoring system implemented ensured patients received appropriate monitoring for diabetes, other long term conditions, and for patients taking high risk medicines.
The practice now stocked appropriate emergency medicines; however they did not store them within the correct temperature range to provide assurance that they were safe to be used.
There was now a system to review complaints to identify themes and trends.
The practice had not improved patient satisfaction in relation to the GPs working at the practice and there had been limited action taken to improve the data since the last inspection.
However, there are areas of practice where the provider must make improvements.
Importantly, the provider must:
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care. Medicines must be stored within the correct temperature range to provide assurance that they were safe to be used.
At our previous inspection on 26 April 2017, We rated the practice as requires improvement for caring services because the patient satisfaction score in the national GP survey was low. The practice had introduced patient survey’s, with the patient participation group, and staff. The practice had acted on concerns raised. However the National GP survey data remained significantly low, consequently, the practice is rated as requires improvement for providing caring services due to their response to concerns.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr P K Mohanty and Partner on 11 April 2017. Overall the practice is rated as requires improvement.
There was an open approach to safety and a system in place for reporting and recording significant events. However, there was a lack of evidence to demonstrate that the learning had been shared with all staff.
The practice had clearly defined and embedded systems to minimise risks to patient safety.
The practice maintained appropriate standards of cleanliness and hygiene. The infection control lead had received appropriate training.
The monitoring of patients taking high-risk medicines did not always follow guidance.
Not all long term condition management identified by national guidance had been actioned in a timely and appropriate way.
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.
Where low levels of satisfaction were reported with the GPs the practice had shared their findings with their patient participation group and agreed to undertake individual performance reviews, the findings of which would be used to improve service delivery.
Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns. There was no analysis of complaints to identify themes and trends.
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.
The areas where the provider must make improvements are:
Stock all recommended emergency medicines or undertake a risk assessment if they are not required.
Ensure patients taking high-risk medicines are reviewed in line with guidance.
Ensure that relevant staff have received feedback from learning identified from the analysis of significant events and complaints.
In addition the provider should:
Continue to make improvements in relation to the performance of the GPs at the practice in relation to the satisfaction rates in the national GP patient survey.
Analyse complaints to identify themes and trends in order to improve services at the practice.
Ensure that patients with diabetes receive appropriate management and review.
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