Mr Pravinkumar P Nana - Winlaton

Updated 15 July 2016

This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We carried out a review of this service on 6 July 2016. This review was carried out to check that improvements to meet legal requirements planned by the practice after our comprehensive inspection on 25 February 2016 had been made. We reviewed the practice against one of the five questions we ask about services: is the service well-led? This is because the service was not previously meeting some of their legal requirements under the well-led domain.

At the previous, comprehensive inspection on 25 February 2016 we found that some governance arrangements had not been followed. For example, guidance within the legionella risk assessment dated January 2010 had not been addressed. In addition, we found that the required training had not been updated nor had various audits been undertaken in accordance with the guidance. Some emergency equipment was out of date or missing.

The review was led by a CQC inspector who had access to remote advice from a specialist advisor.

During our review, we checked that the registered provider’s action plan had been implemented. We reviewed a range of documents provided by the registered provider. We found that the practice was meeting their legal requirements under the well-led domain.

Updated 15 July 2016

We carried out an announced comprehensive inspection of this service on 25 February 2016 as part of our regulatory functions where a breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach.

We followed up on our inspection of 25 February 2016 to check that the practice had implemented their plan and to confirm that they now met the legal requirements. We carried out a desk based review on 6 July 2016 to check whether the practice had taken action to address a breach of Regulation 17(1), (2) (a) and (b) (d) (ii) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This report only covers our findings in relation to those requirements. We have not revisited Mr. Pravinkumar P Nana - Winlaton practice for this review because the registered provider was able to demonstrate that they were meeting the standards without the need for a visit.

Our findings were:

Are services well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Mr. Pravinkumar P Nana – Winlaton on our website at www.cqc.org.uk.