We carried out an announced comprehensive inspection at Dr NS Jadoon & Dr S Mir on 8 October 2019 as part of our inspection programme.
We previously inspected the practice (previously named Dr JR Larner & Dr NS Jadoon) on 18 November 2014 and rated it Good overall, and Good in all the key questions and all population groups.
We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:
Because of the assurance received from our review of information we carried forward the ratings for the following key questions:
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Strengthen the system for recording all staff vaccinations in line with current guidance.
- Review oversight of health and safety risk assessments for the areas operated by the practice within the premises
- Continue to review the childhood immunisations process to encourage uptake in line with national targets.
- Continue to make efforts to engage with patients through establishing an active patient participation group.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care