17 September 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Hamid Dathi on 17 September 2015. Overall the practice is rated as good.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
- Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- Of the patients who were placed on the urgent two week referral pathway, 75% of all new cancer diagnosis were picked up by the practice. This was higher than the CCG rate of 40% and the national average of 48.8%.
- The practice worked in collaboration with other health and social care professionals to support patients’ needs and provided a multidisciplinary approach to their 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 provided appropriate support for end of life care and patients and their carers received good emotional support.
- Information about services and how to complain was available and easy to understand.
- 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.
However there were areas of practice where the provider needs to make improvements.
The provider should:
- Ensure serial numbers of prescriptions were recorded in accordance with practice policy to have a robust system to monitor their use.
- Ensure recruitment arrangements include all necessary employment checks for all staff, including a written record of an induction programme for non-clinical staff being kept.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice