The Care Quality Commission
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  • GP practice

Archived: Injeeli Consultancy Limited Also known as Sundon Park Health Centre

Overall: Good read more about inspection ratings

Tenth Avenue, Luton, Bedfordshire, LU3 3EP (01582) 507913

Provided and run by:
Injeeli Consultancy Limited

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

All Inspections

31 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Injeeli Consultancy Limited on 31 August 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice had identified 21 patients as carers, which was 0.7% of the practice list. There was a carers board in the waiting area with written information to direct carers to the avenues of support available to them.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns. The practice kept records of written correspondence; however, they informed us that verbal interactions were not always documented.
  • Patients said they found it easy to make an appointment with urgent appointments available the same day, although sometimes there was a lack of continuity as locum GPs were used to support the principal GP in the practice.
  • The practice facilities were well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • Medicines and vaccines in the practice were stored securely. However, the monitoring of the fridge temperature to ensure vaccines and medicines were stored at the correct temperature to maintain efficacy was not done correctly.

The areas where the provider should make improvement are:

  • Ensure the fridge temperatures are monitored correctly so the vaccines and medicines are stored at the correct temperature to maintain efficacy.
  • Continue to identify and support carers.
  • Document verbal interactions when patients or family members make a complaint and consider as part of annual trend analysis.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

24 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced inspection of Injeeli Consultancy Limited on 24 November 2014. This was a comprehensive inspection under Section 60 of the Health and Social Care Act (2008) as part of our regulatory functions. The practice achieved an overall rating of requires improvement. This was based on the safe, effective and well-led domains and six population groups we looked at achieving the same requires improvement rating.

Our key findings were as follows:

  • Patients reported very good access to the practice. Appointments, including those required out of normal working hours or in an emergency were available and phone access was good.
  • Systems were in place to identify and respond to concerns about the safeguarding of adults and children.
  • We saw patients receiving respectful treatment from staff. Patients felt that their privacy and dignity was respected by courteous and helpful staff.

There were areas of practice where the provider needs to make improvements.

Importantly, the provider must:

  • Ensure staff use the agreed procedure for reporting and recording incidents and events.
  • Ensure there is a clear process for the monitoring of and learning and improving from incidents and significant events. Also, that staff are made aware of the decisions made and changes in practice required as a result of discussions about incidents and significant events.
  • Ensure that systems designed to assess the risk of and to prevent, detect and control the spread of infection are fully implemented and audited.
  • Ensure a coordinated approach to medicines management and that a system is in place to record the amount and type of medicines kept at the practice.
  • Ensure adequate recruitment procedures are in place including completing the required background checks on staff.
  • Ensure there is a recurring programme of clinical audit.

In addition the provider should:

  • Ensure staff are trained in areas relevant to their roles, which may include details of the Mental Capacity Act (2005).
  • Ensure that clinical quality and effectiveness schemes such as the national Quality and Outcomes Framework (QOF) are used more extensively to improve patient outcomes. QOF is a national data management tool generated from patients’ records that provides performance information about primary medical services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

3 February 2014

During a routine inspection

We found that Injeeli Consultancy Limited was welcoming with friendly, helpful staff. The surgery provided a number of consulting and treatment rooms, all based on one level. We found that information was clearly displayed throughout the surgery for people using the service, including health promotion, information about the practice and the services available.

We spoke with three people using the service, who all said they were happy with the service provided to them. One person said, "I get on ok here." Another person said, "I know the doctor's and I am happy."

We also spoke with staff in different roles who said they enjoyed working in the practice and felt supported by the provider. Most staff had also been working in the surgery for a number of years.

We saw that the provider displayed clear information on how to raise any concerns if someone was not happy with the service provided.