Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Dr Shoeb Suryani on 27 June 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing safe services.

We issued requirement notices in relation to:

• Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Fit and proper persons involved.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Shoeb Suryani on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 22 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified at our previous inspection on 27 June 2016. This report covers our findings in relation to those requirements.

Our key findings were as follows:

• The practice had reviewed its recruitment procedures to ensure that all necessary employment checks were completed for all staff employed and the required information maintained safely.
• The recording of significant events had been reviewed and they were sufficiently detailed to show that concerns identified were appropriately followed up to prevent further occurrences and ensure improvements made were appropriate.
• Arrangements were in place for sharing alerts, best practice guidance and the learning outcomes from significant events, incidents and near misses with staff.
• The practice’s complaint handling procedures had been reviewed to ensure that the appropriate management of verbal complaints were included. Staff were made aware of the procedure to follow. We saw that four complaints had been received since the last inspection. Records available showed that these were responded to in a timely manner, they detailed the action taken, contact was made with the complainant and the improvements made and any learning was shared with staff.

At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Dr Shoeb Suryani on 27 June 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing safe services.

We issued requirement notices in relation to:

• Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Fit and proper persons involved.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Shoeb Suryani on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 22 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified at our previous inspection on 27 June 2016. This report covers our findings in relation to those requirements.

Our key findings were as follows:

• The practice had reviewed its recruitment procedures to ensure that all necessary employment checks were completed for all staff employed and the required information maintained safely.
• The recording of significant events had been reviewed and they were sufficiently detailed to show that concerns identified were appropriately followed up to prevent further occurrences and ensure improvements made were appropriate.
• Arrangements were in place for sharing alerts, best practice guidance and the learning outcomes from significant events, incidents and near misses with staff.
• The practice’s complaint handling procedures had been reviewed to ensure that the appropriate management of verbal complaints were included. Staff were made aware of the procedure to follow. We saw that four complaints had been received since the last inspection. Records available showed that these were responded to in a timely manner, they detailed the action taken, contact was made with the complainant and the improvements made and any learning was shared with staff.

At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

On the day of our announced inspection we spoke with five patients and five members of staff. We later spoke with a spokesperson from the patient participation group (PPG) who was also a patient. One patient told us: “I can't fault this practice. I have had more help from X (the doctor) than when I was at another practice for nine years". Another patient told us: “It's quite good. I am satisfied".

We saw that patient’s views and experiences were taken into account in the way the service was provided and that they where treated with dignity and respect. When patients received care or treatment they were asked for their consent and their wishes were listened to.

Staff had received training in safeguarding children and vulnerable adults. They were aware of the appropriate agencies to refer safeguarding concerns to that ensured patients were protected from harm.

Patients were cared for in a clean and organised environment. Systems were in place for regular monitoring of the standards of hygiene so that the risk of infections to patients were minimised.

The provider had systems in place for monitoring the quality of service provision. There was an established system for regularly obtaining opinions from patients about the standards of the services they received. This meant that on-going improvements could be made by the practice staff.