Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection 5 May 2015 – Good)

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

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out this announced comprehensive inspection at Saxena Bowden Saxena on 8 January 2018 as part of our inspection programme.

At this inspection we found:

• 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.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• Staff were well supported and supervised.

• Patient feedback about the service was overwhelmingly positive.

• A member of the non-clinical staff acted as a cancer and carers champion.

The areas where the provider should make improvements are:

• Emergency medicines should be available in case of meningitis.

• The practice should establish a structure for scheduling meetings with the local children’s safeguarding team.

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 at Minden Group Anchor Practice (Drs Saxena Bowden and Saxena) on 5th May 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services. It was also good for providing services for all the population groups.

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed. Risks relating to recruitment checks (such as Disclosure and Barring Service Checks for all staff) had been identified by the practice prior to our inspection and were being actioned.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.
• Staff received support and training appropriate to their roles, with the exception of regular appraisals. This had been identified by the practice prior to our inspection and further training needs had been identified and appraisals had been 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.
• Some patients said they found it difficult to make an appointment with a named GP in a timely manner. However they said there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a newly embedded leadership structure and staff felt very supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

However, there were also areas of practice where the provider needs to make improvements.

The provider should fully implement it’s staff appraisal plan

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We reviewed the information available to us about Saxena Bowden Saxena on 18 April 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.