Letter from the Chief Inspector of General Practice
This practice is rated as Good overall.
The last inspection of this practice took place in September 2015. The overall rating for the practice at that time was good, with the exception of key question safe which was rated as requires improvement. Our concerns at this time related to out-of-date and incomplete training for some members of staff, which included expired safeguarding training and chaperoning duties being undertaken by staff who had been trained to do so. Following the September 2015 inspection, we issued the practice a requirement notice in respect of Regulation 18 of the Health and Social care Act (RA) Regulations 2014.
At this inspection, the key questions are rated as:
Are services safe? – Requires Improvement
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 an announced comprehensive inspection at Dr Khalid Patel (also known as Goodmayes Medical Practice) 29 November 2017. This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements following the September 2015 inspection.
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 did not always routinely review the effectiveness and appropriateness of the care it provided, with regards to the duties conducted by the practice healthcare assistant. The practice did ensure that care and treatment was delivered according to evidence- based guidelines.
- Not all patents were happy with care provided by the nursing team at the practice.
- 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 focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients
The areas where the provider should improvements are:
- To review the results from the Nation GP Patient Survey with particular reference to patient satisfaction on gaining timely access to services provided.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice