Letter from the Chief Inspector of General Practice
We previously carried out an announced comprehensive inspection at Dr Sanjay Mittal on 31 October 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing well-led services.
We issued a requirement notice in relation to:
- Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Good Governance.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Sanjay Mittal on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 25 September 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection on 31 October 2016. This report covers our findings in relation to those requirements.
Our key findings across all the areas we inspected were as follows:
- Systems were in place to show the action taken to address alerts about medicines that may affect patients’ safety.
- Systems to monitor children who fail to attend hospital appointments had been reviewed and procedures put in place to ensure these were appropriately managed.
- At risk registers for children and vulnerable adults were maintained and appropriately managed.
- Employment checks required by legislation had been completed for all staff employed.
- The plans for ongoing clinical audits that support improvements for patients had been reviewed.
- Arrangements to ensure the GP was actively involved in the appraisal and supervision of the advanced nurse practitioners had been introduced.
- Systems were in place to ensure patients discharged from hospital were followed up in a timely way.
- Plans were in place to review the reasons for lower patient satisfaction in the GP national survey for patient experience of their interaction with GPs. For example, the GP was looking at using an accredited patient satisfaction survey as part of their revalidation.
- Pro-active plans had been introduced to identify carers and establishing what support they need. The number of carers identified remained just under 1% but had increased from 30 (0.65%) to 45 (0.97%).
- At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing well-led services.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice