Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Dr Satnam Sodhi on 31 October 2016. The overall rating for the practice was good. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Dr Satnam Sodhi on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 31 August 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 31 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 rated as Good.

Our key findings were as follows:

• Risks to patients were assessed and well managed, including those related to recruitment checks.
• The provider had up to date policies on safeguarding and there was a new system in place to ensure that staff read and signed the policies.
• The provider took action to ensure all staff were aware of how to access the practice’s business continuity plan.
• All completed appraisal records included assessment of staff performance.
• Unpublished data for long term conditions provided by the practice showed there had been improvements in patient outcomes.
• Although some improvements had been made to improve the cervical screening uptake which included providing information in different languages, the uptake continued to be below local and national average. For example, Quality and Outcomes Framework (QOF) data for 2015/16 showed the cervical screening uptake for the practice was 67%, which was below Clinical Commissioning Group (CCG) average of 77% and national average of 81%.

The areas where the provider should make improvements are:

• Monitor and continue to consider ways to improve the uptake of cervical screening.

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 of Dr Satnam Sodhi on 31 October 2016. The overall rating for the practice was good. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Dr Satnam Sodhi on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 31 August 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 31 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 rated as Good.

Our key findings were as follows:

• Risks to patients were assessed and well managed, including those related to recruitment checks.
• The provider had up to date policies on safeguarding and there was a new system in place to ensure that staff read and signed the policies.
• The provider took action to ensure all staff were aware of how to access the practice’s business continuity plan.
• All completed appraisal records included assessment of staff performance.
• Unpublished data for long term conditions provided by the practice showed there had been improvements in patient outcomes.
• Although some improvements had been made to improve the cervical screening uptake which included providing information in different languages, the uptake continued to be below local and national average. For example, Quality and Outcomes Framework (QOF) data for 2015/16 showed the cervical screening uptake for the practice was 67%, which was below Clinical Commissioning Group (CCG) average of 77% and national average of 81%.

The areas where the provider should make improvements are:

• Monitor and continue to consider ways to improve the uptake of cervical screening.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Staff within the practice consisted of the service provider, a locum GP, a practice manager, practice nurse and reception/administration staff.

Patients had access to a wide range of information and health promotion leaflets. We noted some information on how to access emergency treatment was displayed in other languages. Patients were given appropriate information and support regarding their care or treatment.

When we spoke with patients, all comments were positive and included: "The GP always has time to listen and you never feel rushed", "This practice is much better than my previous GP", "I have never had a problem getting an appointment, the staff are very helpful and the doctor has been very good" and "The doctor explains everything and if I ask anything he makes sure I understand".

We found staff had an appropriate understanding of safeguarding referrals and the requirement to share sensitive information to safeguard patients. Policy guidance was in place.

The environment was clean and maintained to a good standard. Cleaning schedules were in place and were undertaken by an external company. These were monitored by the practice manager.

The practice had a range of policies, procedures and guidance in place for staff to access, which supported the safe management of the service.

We found that the provider had taken steps to ensure staff were appropriately qualified, skilled and experienced for their jobs.

We saw evidence that the provider had an effective system in place to monitor quality and safety.