Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Kumara Srikrishnamurthy on 22 September 2015. The overall rating for the practice was good with requires improvement for providing safe services. The full comprehensive report on the 22 September 2015 inspection can be found by selecting the ‘all reports’ link for Dr Kumara Srikrishnamurthy on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 10 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 22 September 2015. This report covers our findings in relation to those requirements and any improvements made since our last inspection.

Overall the practice remains rated as good.

Our key findings across all the areas we inspected were as follows:

• The practice had addressed the findings of our previous inspection in respect of risk assessments relating to the health, safety and welfare of people using the service.
• The practice had clearly defined and embedded systems to minimise risks to patient safety.
• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• Results from the national GP patient survey showed patients rated the practice above others for aspects of caring. Patients told us they were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients we spoke with 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 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvement are:

• Consider the infection control lead undertaking enhanced training to support them in this extended role.
• Provide guidance to all staff on how to respond to an activation of the newly installed emergency call cord in the accessible toilet.
• Review how carers are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
• Develop a written strategy or supporting business plan that details the short and long-term development objectives.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Shrikrishnamurthy on 22 September 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.

• 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 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.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must:

• Undertake fire, legionella and control of substances hazardous to health (COSHH) risk assessments.

Importantly the provider should:

• Provide staff with a single point of access for all human resource information.

• Develop a strategy for the continuation of service provision in the event of the GP being unable to continue to deliver the service.

• Develop a system for the oversight and management of the cleaning of the practice.

• Consider improving communication with patients who have a hearing impairment.

• Strengthen governance arrangements for practice meetings including standing agenda items and the minuting of clinical meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Kumara Srikrishnamurthy on 22 September 2015. The overall rating for the practice was good with requires improvement for providing safe services. The full comprehensive report on the 22 September 2015 inspection can be found by selecting the ‘all reports’ link for Dr Kumara Srikrishnamurthy on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 10 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 22 September 2015. This report covers our findings in relation to those requirements and any improvements made since our last inspection.

Overall the practice remains rated as good.

Our key findings across all the areas we inspected were as follows:

• The practice had addressed the findings of our previous inspection in respect of risk assessments relating to the health, safety and welfare of people using the service.
• The practice had clearly defined and embedded systems to minimise risks to patient safety.
• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• Results from the national GP patient survey showed patients rated the practice above others for aspects of caring. Patients told us they were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients we spoke with 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 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvement are:

• Consider the infection control lead undertaking enhanced training to support them in this extended role.
• Provide guidance to all staff on how to respond to an activation of the newly installed emergency call cord in the accessible toilet.
• Review how carers are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
• Develop a written strategy or supporting business plan that details the short and long-term development objectives.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice