Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Padma Prasad (Faircross Health Centre) on 12 October 2016. The overall rating for the practice was good. The full comprehensive report on the 12 October 2016 inspection can be found by selecting the ‘all reports’ link for Dr Padma Prasad (Faircross Health Centre) on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 25 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the findings that we identified in our previous inspection on 12 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

• Data from the national GP patient survey had improved from the previous survey for example: 80% (previously 71%) of patients said the GP was good at listening to them compared to the clinical commissioning group (CCG) average of 81% and the national average of 89%.

• Patients said they were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• 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 identified 2% of its patients as carers.

However, there was also an area of practice where the provider could make improvements.

In addition the provider should:

• Continue to ensure that it addresses issues highlighted in the national GP survey in order to improve patient satisfaction, including: satisfaction with consultations, and with being involved in decision making.

• Consider developing a practice website.

At our previous inspection on 12 October 2016, we rated the practice as requires improvement for providing caring services as there was no carer’s register. At this inspection we found that the carer’s register had been introduced and the practice offered support and advice to carers.

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 Padma Prasad (Faircross Health Centre) on 12 October 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows

• Results of the GP patient survey showed that patients were less satisfied with consultations and in being involved in decisions about their care than the national average.
• 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 managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• Patients said they 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 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.
• 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 must make improvement are:

• Ensure that it addresses issues highlighted in the national GP survey in order to improve patient satisfaction, including: satisfaction with consultations, and with being involved in decision making.

In addition, it should

• Provide children’s masks for use with the practices’ oxygen supply in case of a medical emergency involving the need to administer oxygen to a child.

• Review how carers are identified and recorded on the patient record system to ensure information, advice and support is made available to all.

• Regularly review all practice policies and include a document control process.

• Consider ways to improve uptake of its cervical screening programme for the benefit of female patients.

• Consider how to make provision for patients who express a wish to see a male GP.

• Ensure the procedure for all staff recruitment includes undertaking all relevant pre-employment checks, and that personnel files are complete and up to date.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice