Dr Krishnan, 1 Rayleigh Road, Eastwood, Leigh On Sea.
Dr Krishnan in 1 Rayleigh Road, Eastwood, Leigh On Sea is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 6th July 2017
Dr Krishnan is managed by Dr Krishnan.
Contact Details:
Address:
Dr Krishnan Kent Elms Health Centre 1 Rayleigh Road Eastwood Leigh On Sea SS9 5UU United Kingdom
Telephone:
01702522012
Ratings:
For a guide to the ratings, click here.
Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good
Further Details:
Important Dates:
Last Inspection
2017-07-06
Last Published
2017-07-06
Local Authority:
Southend-on-Sea
Link to this page:
Inspection Reports:
Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
Letter from the Chief Inspector of General Practice
On 6 January 2016 we carried out a comprehensive inspection at Dr Krishnan. Overall the practice was rated as inadequate and placed in special measures. The practice was found to be inadequate in safe and well-led, requires improvement in effective and good in responsive and caring.
As a result of that inspection we issued the practice with a requirement notice in relation to risks to patient safety not been assessed and managed appropriately, the governance at the practice, staff training and recruitment. The issues of concern related to the lack of health and safety risk assessments in place and clinical equipment that had not been calibrated since 2013. There was no system for ensuring staff were registered with their professional body and a lack of system for reviewing test results and recording appropriately in patient records. Not all staff had undertaken training in respect of their roles and responsibilities and appropriate checks had not been carried out when employing staff.
The practice submitted further information following the inspection that assured us that the risks identified at the practice on the day of the inspection had been considerably reduced.
We then carried out an announced comprehensive inspection at Dr Krishnan on 1 June 2017. Overall the practice is rated as good.
Our key findings across all areas we inspected were as follows:
Risks to staff and patients had been assessed and managed appropriately. The practice had completed all actions from the inspection in January 2016.
Staff had received training that was specific to their roles and the practice manager had a matrix that showed the training completed and when it was due for renewal.
Appropriate checks were carried out as to the fitness of staff to practice and all staff had current and effective registrations with their professional body. All relevant staff had received a disclosure and barring service check prior to employment or had a risk assessment in place detailing the reasons why for the staff that had recently commenced employment.
There was an effective system for assessing and monitoring the quality and safety of services provided.
Staff carrying out chaperone duties had received training and a disclosure and barring service check was in place.
There was sufficient and appropriate equipment for use in the treatment of patients, including in the event of a medical emergency and the equipment was calibrated to ensure it was working correctly.
There was a comprehensive business continuity plan in place in the event of an emergency taking place that disrupted the services to patients.
There was an ongoing programme of clinical audit that demonstrated quality improvement.
Practice policies and procedures had been reviewed to ensure that they were up to date and practice specific.
Prescriptions were stored securely however on the day of inspection were not tracked through the practice. The practice said that they would ensure this was completed.
The practice held regular multi-disciplinary team meetings in addition to coordinated care through the patient record system.
Data from the national GP patient survey showed patients reported high levels of satisfaction with the practice nursing team and had trust and confidence in their GPs.
Carers were identified and supported to access services and receive appropriate vaccinations.
The practice had an effective patient participation group and meetings showed how the practice had listened and responded to patient feedback.
Staff were able to recognise and reported significant incidents. These were investigated and lessons learnt identified and shared during clinical and practice management meetings attended by all staff.
The practice was clean and tidy and staff had reviewed infection prevention control and cleaning policies.
The practice manager had a log of all risk assessments and other tasks such as calibration and electrical testing documented on a log. This was colour coded and as they approached the date due the colour changed from green, to amber, to red.
Medicines were appropriately stored and monitored and we saw evidence to support this.
Patient safety and medicine alerts were shared amongst the clinical team and consistently actioned and a record and log was maintained.
Actions the practice should take to improve:
Ensure all blank prescriptions are handled in accordance with national guidance and tracked accordingly.
Review process and methods for identification of carers and the system for recording this to enable support and advice to be offered to those that require it.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Letter from the Chief Inspector of General Practice
On 6 January 2016 we carried out a comprehensive inspection at Dr Krishnan. Overall the practice was rated as inadequate and placed in special measures. The practice was found to be inadequate in safe and well-led, requires improvement in effective and good in responsive and caring.
As a result of that inspection we issued the practice with a requirement notice in relation to risks to patient safety not been assessed and managed appropriately, the governance at the practice, staff training and recruitment. The issues of concern related to the lack of health and safety risk assessments in place and clinical equipment that had not been calibrated since 2013. There was no system for ensuring staff were registered with their professional body and a lack of system for reviewing test results and recording appropriately in patient records. Not all staff had undertaken training in respect of their roles and responsibilities and appropriate checks had not been carried out when employing staff.
The practice submitted further information following the inspection that assured us that the risks identified at the practice on the day of the inspection had been considerably reduced.
We then carried out an announced comprehensive inspection at Dr Krishnan on 1 June 2017. Overall the practice is rated as good.
Our key findings across all areas we inspected were as follows:
Risks to staff and patients had been assessed and managed appropriately. The practice had completed all actions from the inspection in January 2016.
Staff had received training that was specific to their roles and the practice manager had a matrix that showed the training completed and when it was due for renewal.
Appropriate checks were carried out as to the fitness of staff to practice and all staff had current and effective registrations with their professional body. All relevant staff had received a disclosure and barring service check prior to employment or had a risk assessment in place detailing the reasons why for the staff that had recently commenced employment.
There was an effective system for assessing and monitoring the quality and safety of services provided.
Staff carrying out chaperone duties had received training and a disclosure and barring service check was in place.
There was sufficient and appropriate equipment for use in the treatment of patients, including in the event of a medical emergency and the equipment was calibrated to ensure it was working correctly.
There was a comprehensive business continuity plan in place in the event of an emergency taking place that disrupted the services to patients.
There was an ongoing programme of clinical audit that demonstrated quality improvement.
Practice policies and procedures had been reviewed to ensure that they were up to date and practice specific.
Prescriptions were stored securely however on the day of inspection were not tracked through the practice. The practice said that they would ensure this was completed.
The practice held regular multi-disciplinary team meetings in addition to coordinated care through the patient record system.
Data from the national GP patient survey showed patients reported high levels of satisfaction with the practice nursing team and had trust and confidence in their GPs.
Carers were identified and supported to access services and receive appropriate vaccinations.
The practice had an effective patient participation group and meetings showed how the practice had listened and responded to patient feedback.
Staff were able to recognise and reported significant incidents. These were investigated and lessons learnt identified and shared during clinical and practice management meetings attended by all staff.
The practice was clean and tidy and staff had reviewed infection prevention control and cleaning policies.
The practice manager had a log of all risk assessments and other tasks such as calibration and electrical testing documented on a log. This was colour coded and as they approached the date due the colour changed from green, to amber, to red.
Medicines were appropriately stored and monitored and we saw evidence to support this.
Patient safety and medicine alerts were shared amongst the clinical team and consistently actioned and a record and log was maintained.
Actions the practice should take to improve:
Ensure all blank prescriptions are handled in accordance with national guidance and tracked accordingly.
Review process and methods for identification of carers and the system for recording this to enable support and advice to be offered to those that require it.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
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