Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr GS Chanas Practice (also known as The Yiewsley Family Practice) on 21 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 and an effective system in place for reporting and recording significant events, although documentation was not consistent.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they felt the practice offered a good service and staff were friendly, helpful, polite and supportive and treated them with dignity and respect.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice was equipped to treat patients and meet their needs, however space was restricted and the building in need of refurbishment.
• 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 improvement are:

• Revise the incident reporting form so that it supports the recording of notifiable incidents under the duty of candour.

• Review the documentation and monitoring of all significant events to ensure a consistent approach.

• Implement a formal process for the recording of clinical meeting discussions.

• Revise the recording form used to monitor fridge temperatures to enable explanation/remedial action to be recorded in the event of temperatures falling outside of range.

• Regularly monitor practice compliance with I

  infection control protocols.

• Review the GP locum pack to ensure all relevant information is included.

• Display notices in the reception areas informing patients that translation services are available.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice