Lambton Road Medical Partnership Also known as Dr Dhalla and Dr Molony Partnership

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Lambton Road Medical Partnership on 12 April 2016. The overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. This was because not all staff had received timely access to mandatory training specifically safeguarding training, fire safety training and basic life support training.

A further announced desk-based focused inspection was carried out on 14 December 2016 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 in our previous comprehensive inspection on 12 April 2016. During the desk-based inspection we found that safeguarding training and fire training were still not up to date for some staff. Consequently, the practice was still rated as requires improvement for providing safe services.

The full comprehensive report and desk-based focussed inspection report can be found by selecting the ‘all reports’ link for Lambton Road Medical Partnership on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 23 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation 17 that we identified in our previous inspection on 14 December 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good. Specifically the practice was now found to be good for providing safe services.

Our key findings were as follows:

• Of 50 staff training records checked, 47 members of staff had undertaken annual basic life support training. Three members of staff had training booked for November 2017.

• All 50 staff members had undertaken the appropriate level of safeguarding children’s training.

• All staff members had undertaken the appropriate level of safeguarding adult’s training.

• All staff had completed annual fire training apart from one locum GP.

• All staff had completed annual infection control training apart from one locum GP.

• All staff had completed annual information governance training apart from two locum GPs.

• Five members of clinical staff had received training in the Mental Capacity Act; however shortly following the inspection the remaining 16 clinical staff had undertaken online MCA training apart from 2 locum GPs.

• The practice had put in place a new procedure to monitor staff training records.

• Since the previous inspection the practice had installed a new telephone system with an automated appointment system, which was being regularly audited.

• Since the previous inspection the practice had increased reception staffing by two additional full-time roles.

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

The provider should:

• Keep records of assurance of mandatory training for temporary staff including locum GPs.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Lambton Road Medical Partnership on 12 April 2016. The overall rating for the practice was Good. However, the practice was rated as requires improvement for providing safe services. This was because not all staff had received timely access to mandatory training specifically safeguarding training, fire safety training and basic life support training. The full comprehensive report can be found by selecting the ‘all reports’ link for Lambton Road Medical Partnership on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 14 December 2016 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 in our previous inspection on 12 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good however, the practice remains as requires improvement for providing safe services.

Our key findings were as follows:

• Most staff had completed the appropriate level of safeguarding training; however, we found two members of clinical staff completed this after the inspection.
• All staff had completed role appropriate training including basic life support.
• All staff had completed fire training; however we found two members of clinical staff completed this after the inspection.
• The practice had a significant event and incident reporting procedure policy.
• The practice had a duty of candour policy.
• Thorough recruitment checks had been undertaken.
• There was an effective system in place to identify and support all patients acting as carers.
• There was an effective system in place to monitor vaccine refrigerator temperatures if they had fallen outside of range.
• Staff working across two provider organisations had signed confidentiality agreements.
• The practice had reviewed it’s complaints policy and an effective systems was in place to improve quality of care from complaints received.

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

Importantly, the provider must:

• Ensure they maintain and monitor records of staff training to identify training needs effectively.

At our previous inspection on 12 April 2016, we rated the practice as requires improvement for providing safe services due to staff not receiving timely access to mandatory training specifically safeguarding training, fire safety training and basic life support training. At this inspection we found that safeguarding training and fire training were still not up to date for some staff. Consequently, the practice is still rated as requires improvement for providing safe services.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice