Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rajeev Raut on 1 March 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.
• 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.
• Most patients said they found it easy to make an appointment with a named 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. This means providers must be open and transparent with service users about their care and treatment, including when it goes wrong.

In addition the provider should:

• A system should be implemented to ensure emergency drugs are in place to deal with emergency situations and a full risk assessment conducted where drugs are deemed not required.

• Clinical audits must include a full cycle of events to ensure patient outcomes are improved and reflection and learning is recorded with action points identified.

• Introduce formalised and documented staff and multi-disciplinary team meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We carried out this announced inspection because at the time of registration the provider had told us that they were not compliant in some outcome areas.

We saw that the practice had processes in place to ensure consent was obtained and documented when required, however some further work was required to ensure that all clinicians were aware of how to document this on the clinical system.

We spoke with two patients who were happy with the service they received from the practice. Comments included:

“Dr Raut was really good. He got him [son] to open his mouth and lift up his shirt”.

“It’s a really nice practice. I cannot say anything bad about him [Dr Raut].”

“I wouldn’t change practice. I’ve been there 40 odd years and was with Senior Dr Raut.”

We saw that the practice were up to date with infection control policies and procedures and following a tour around the clinical areas we found these to be clean and well maintained.