This practice is rated as Good overall.

GP Suite – Dr Rasib and partners is a new registered practice and this is the first inspection of this service under this provider.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at GP Suite – Dr Rasib and Partners on 23 April 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

Our key findings were as follows:

• There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events. When incidents did happen, there were arrangements in place to ensure learning was shared to improve processes. Staff understood their duty to raise concerns and report incidents and near misses.
• The practice had effective systems in place for the management of patients prescribed high risk medicines.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• There were clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse and for identifying, assessing and mitigating risks to the health and safety of patients.
• The practices worked proactively with other organisations to ensure patients had access to range of services to support their health and wellbeing. These services contributed to an improved patient experience.
• The service sought and acted on feedback from patients and staff.
• Staff had the skills, knowledge and experience to carry out their roles and arrangements were in place to assess the competence of clinical consultations.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice acknowledged they were generally below local and national outcomes on the GP patient survey and had taken action to undertake their own satisfaction survey and were working to towards improving patient access and reviewing their workforce model.
• The practice responded to complaints in a timely and open manner.
• There were clear responsibilities, roles and systems of accountability to support effective governance.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The provider was aware of and complied with the requirements of the duty of candour.

We saw an area of outstanding practice:

• The practice had reviewed the needs of its patients and had made considerable efforts in working with external agencies to provide patients with a range of services. They worked in partnership with variety of external partners and helped facilitate a range of support clinics for patients to access within the practice and local community. The practice had identified four percent of its patient list as carers and actively supported them. They were a dementia-friendly practice and were also registered as a disability confident committed organisation. (The Disability Confident is a scheme that is designed to help organisations recruit and retain disabled people with health conditions for their skills and talent).

The areas where the provider should make improvements are:

• Continue to improve patient access and review the actions identified in the internal patient satisfaction surveys.

• Ensure recruitment procedures are operated effectively to ensure only fit and proper persons are employed.

Professor Steve Field CBE FRCP FFPH