7th June 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Sanjeev Saxena on 7 June 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. However on the day of our inspection the practice did not demonstrate an effective system for ensuring the safe recruitment of staff.
- Systems were 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 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.
- Information about services and how to complain was available and easy to understand.
- Patients said they found it easy to make an appointment with the GP and that there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was 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.
The areas where the provider should make improvements :
- Ensure the staff recruitment policy and procedure is revised and followed to include take up of written references and police (DBS) checks and keeping interview notes on file.
- Ensure that analysis of significant events is recorded and action plans are put in place and monitored regularly.
- Revise the business continuity plan to include emergency contact numbers for staff within the document.
- Strengthen systems and processes to improve governance and demonstrate continuous learning and improvement.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice