The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Upender Sobti Also known as Brampton Health Centre

Overall: Good read more about inspection ratings

5 Brampton Road, Kingsbury, London, NW9 9BY (020) 8204 6219

Provided and run by:
Dr Upender Sobti

Important: The provider of this service changed. See new profile

All Inspections

28/10/2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Dr Upender Sobti on 28 October 2014. We rated the practice as ‘Requires Improvement’ for the service being safe and ‘Good’ for the service being effective, caring, responsive to people’s needs and well-led. We rated the practice as ‘Good’ for the care provided to older people and people with long term conditions and ‘Good’ for the care provided to, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances and people experiencing poor mental health (including people with dementia).

We gave the practice an overall rating of ‘Good’

Our key findings were as follows:

  • Patients were satisfied with the service. They said staff were helpful, polite and caring.
  • Medicines were managed safely and infection prevention and control measures in place.
  • The practice had extended its opening hours to provide better access for patients.
  • Staff were suitably qualified and had received sufficient training to meet patients’ needs.
  • Services were planned to meet the needs of the patient population and were accessible to all regardless of age, nationality or disability.
  • The practice had leadership with governance arrangements in place.
  • The practice sought feedback from patients and staff and acted on it to improve the services it provided.

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

Importantly, the provider must:

  • Carry out a fire risk assessment to ensure patients and staff are protected from the risks associated with fire. Regulation 15 Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 Safety and Suitability of Premises.

In addition the provider should:

  • Ensure clinical audit cycles are completed to demonstrate learning and improvement.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

9 June 2014

During an inspection looking at part of the service

At a previous inspection that took place on 13 February 2014 we found shortfalls in relation to the provider's medicines management and monitoring and quality assurance systems. In particular we found that medicines were not being stored appropriately to ensure they remained safe and effective for administration. We also found that there were no systems in place to monitor medicines or gain patient feedback so that any issues could be identified and addressed.

During this inspection we spoke with a GP and the practice manager. We also looked at records and checked the arrangements for the storage of medicines. We found that the provider had taken action to ensure that medicines were stored at the appropriate temperature and that this was being closely monitored. We also confirmed that the provider had discarded vaccines that had previously been stored at the wrong temperature.

We found that the provider had introduced quality monitoring systems and that clinical audits had recently been completed. The provider had also introduced a patient satisfaction survey and a Patient Participation Group had been set up.

13 February 2014

During an inspection looking at part of the service

As this was a follow-up visit to ensure that improvements we required had been put in place, we did not speak with people who used the service during our visit.

We found that the provider had taken many positive steps, however some further improvements were needed to ensure that the service was safe and effective. We saw that emergency procedures had been assessed and implemented, and that the provider had taken steps to improve information about, and access to, the service.

We found that the provider had ensured that appropriate equipment and systems were in place to reduce the risk and spread of infection, and that people were safeguarded from the risk of abuse. We saw that service records were stored safely and were able to be located promptly when needed.

However, the provider did not have an effective system in place to seek feedback from people who use the service and others, and to identify and manage risks to people's safety and welfare.

8 November 2013

During a routine inspection

During our visit we spoke with six people who used the service, and four staff. Most people told us they were very happy with the medical care provided, but were unhappy with the appointment times available, the length of time it took to get an appointment and the customer service provided by some members of the reception team. One person told us "Once you get in to see the doctor it's great, but it's hard to get an appointment and I have to take time off work". Another person said "Making an appointment is a pain in the neck". A third person told us "I have no complaints about the doctors, they are great. I'm very unhappy with the customer service, one receptionist is very rude".

We found that the provider did not have systems in place to ensure people's safety and welfare, and had not prepared for foreseeable emergencies. Patient records were appropriately kept, however records relating to the management and operation of the service were not.

We saw that the practice was clean, however the service did not have an appropriate cleaning plan and records and some facilities did not meet infection control guidelines. We found that the service did not have suitable procedures in place to safeguard people from the risk of abuse, and that appropriate recruitment and selection procedures were followed.