- GP practice
Dr Andra Jayaweera Also known as Downhall Park Surgery
All Inspections
01/03/2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out a comprehensive inspection at Dr Andra Jayaweera on 02 September 2015. At this inspection the practice was good for providing safe, responsive, caring and well led services. They were rated as requires improvement for effective services.
During the inspection on 02 September 2015 we found that;
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Patient treatment reviews were not documented consistently to reflect fully when reviews or patient contacts had taken place.
The practice was issued with a requirement notice for improvement.
To maintain accurate, complete and contemporaneous records in respect of each service user, including the recording of the all care and treatment provided to each service user and of decisions taken in relation to the care and treatment provided.
Following this inspection the practice sent us information that outlined the actions they intended to take to improve, and the date they would be implemented. We were then provided with evidence that the practice had implemented to make the required improvements.
To follow-up on our previous inspection and ensure the practice had made the required improvements, we carried out a desk-based inspection of Dr Andra Jayaweera on 01 March 2016, based on the information they sent us after the inspection.
Our key findings during this desk-based follow-up inspection were as follows:
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The practice provided evidence of their patient documentation procedure.
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They also provided an audit with evidence of good clinical note keeping.
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Further evidence sent showed several audits had been undertaken that reflected that medicine reviews had been carried out effectively.
We were therefore satisfied the provider had made all of the improvements identified as a result of the inspection on 02 September 2015.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
02/09/2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Andra Jayaweera on 02 September 2015. Specifically, we found the practice was good for providing safe, responsive, caring and well led services. They were rated as requires improvement for effective services. For all the population groups we inspected the practice was also rated as good.
Our key findings across all the areas we inspected were as follows
Our key findings across all the areas we inspected were as follows
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Staff knew and carried out their obligation to raise concerns, and to report safety incidents. Information about safety was recorded, monitored, and appropriately reviewed to identify trends or recurring themes.
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Risks to patients were also assessed, well managed and reviewed to identify any trends or recurring themes.
- Patients’ needs were considered and care was planned and provided in a way that followed both best practice and recommended current clinical guidance.
- Staff had received the necessary training applicable to their roles and further training had been recognised and planned though the appraisal system.
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Patients told us they were treated with consideration, dignity and respect and they were involved in their care and decisions about their treatment.
- Information regarding how to complain about the practice was available to patients and easy to understand.
- The staff members had received training about safeguarding children and vulnerable adults and knew how and who to contact with any concerns.
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Patients indicated in the National GP Patient Survey published in July 2015 that they found it easy to make an appointment.
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The practice was adequately equipped to treat patients and meet their requirements.
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The practice had a newly formed Patient Participation Group (PPG) that had made suggestions for practice changes.
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The practice sought feedback from patients annually to gain their views regarding their services.
- There was a well-defined leadership structure and staff told us they felt supported in their work roles.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider should
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Ensure the practice procedure to check patient treatment reviews are documented consistently to reflect fully when reviews or patient contacts had taken place.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice