Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Molla and Kesani’s practice on 15 March 2016. Overall the practice is rated as good although the safe domain requires improvement.

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

• 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 well managed, although the systems for dealing with safety alerts and patients on specific medications should be reviewed to make them more robust.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Patients said they could get an appointment with a GP, but sometimes experienced difficulties. They reported that there was continuity of care, with urgent appointments available the same day.
• The practice had adequate facilities and was well equipped to treat patients and meet their needs.
• 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 should make improvement are:

• Improve the system for dealing with safety alerts to ensure there is evidence that appropriate actions are always taken and discussed at practice meetings.

• Implement a system for ensuring the follow up of children who do not attend hospital appointments.

• Improve the system in place to ensure that all patients on medicines which require monitoring have the appropriate tests prior to prescribing.

• Continue to implement the carers strategy and develop a more accurate register of carers.

• Consider displaying a poster showing patients how to complain.

• Continue to try to re-establish the patient participation group and address the lower than average satisfaction scores in the national patient survey.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice