Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection Dr's P L & S Kaul and Dr G K Gill also known as New Road Medical Centre on 22 November 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Dr's P L & S Kaul and Dr G K Gill on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 11 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that were identified in our previous inspection on 22 November 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.
Our key findings were as follows:
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Since our November 2016 inspection, the practice established effective processes and practices to keep patients safe and safeguarded from abuse. For example, staff operated a comprehensive and well embedded system for monitoring and tracking patients who failed to attend hospital appointments.
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During this inspection, we saw completed risk assessments which demonstrated effective management of risks such as fire safety and control of substances hazardous to health.
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Following our previous inspection, the practice reviewed arrangements for dealing with medical emergencies. At this inspection, we saw evidence of actions taken to ensure timely access to appropriate emergency medicines and equipment.
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When we carried out our November 2016 inspection, Quality and Outcomes Framework (QOF) data we viewed showed areas where the practice was performing below local and national averages. During this inspection, staff explained that an action plan had been developed to improve the practice performance. Published and unverified data showed that QOF outcomes had improved.
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Documents provided by the practice as part of this inspection, demonstrated effective use of clinical audits to drive improvements in patient care.
- Further actions taken to identify carers since the previous inspection, showed a slight increase in the practice carers list. Staff explained that carers were offered support where needed and the new patient registration form included questions which identified carers. We were told that reception staff actively updated records when patients attended the practice. A carer’s corner which included information on various support groups was located in the reception area.
- Since the previous inspection, the practice developed and reviewed a number of policies and procedures to govern activity, which all staff had access to. Oversight of procedures and risks had improved since the previous inspection. As a result, arrangements for managing pathology results, practice performance and patients who failed to attend appointments had improved.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice