S We carried out an announced comprehensive inspection at The Surgery Canvey Island on 12th February 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups except for people with long-term conditions .

We rated the practice as good for providing safe, effective, caring, responsive and well led services because:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

We rated the population group people with long-term conditions as requires improvement for providing effective services because:

• The practice’s clinical outcome indicators for 2017/2018 were below the local and national average for people experiencing diabetes, hypertension, COPD and asthma and this was a statistical variation. The unverified data from this year showed an upward trend across all areas but still below the local and national averages form last year. We found that there had been no action plan implemented as a result of 2017/18 data.

Whilst we found no breaches of regulations, the provider should:

• Continue to improve their QOF data and address the areas relating to asthma and COPD.
• Continue to monitor outcomes for percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive, agreed care plan documented in the preceding 12 months
• Monitor cancer indicators and improve outcomes.
• Strengthen process for the security of blank prescription pads.
• Carry out a risk assessment in relation to not having a defibrillator kept onsite.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs JB and AJ Ghauri on 1 September 2015. Overall the practice is rated as good.

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

• Staff understood their responsibilities to raise concerns, and to report incidents and near misses. Significant safety events were investigated and learning from these shared with staff. There were procedures in place to safeguard patients from risks of harm or abuse.
• Risks to patients were assessed and well managed. There were systems for assessing risks including risks associated with medicines, premises and infection control.
• The practice recruitment policies were followed consistently and all of the checks including employment references and Disclosure and Barring Services (DBS) checks had been carried out for staff new staff.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Clinical audits and reviews were carried out to make improvements to patient care and treatment.

• Staff had received training appropriate to their roles. Staff performance was appraised and any further training needs had been identified and planned.

• 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. Complaints were investigated and responded to. However we found that not all elements of patient’s complaints were addressed or responded to in some cases.
• 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.
• The practice had good facilities and these were accessible to patients.
• There was a clear leadership structure and staff felt supported by GP and practice manager. The practice proactively sought feedback from staff and patients, which it acted on.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice