We carried out an announced comprehensive inspection at Dr RP Aurora's Practice, also known as Oxford Drive Medical Centre, on 12 February 2019 as part of our inspection programme.

At the last inspection on 25 November 2015 we rated the practice as good overall and good for all population groups.

At this inspection we have rated the practice as good overall and good for all population groups.

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 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:

• Implement training for reception staff to assist them in identifying a deteriorating or acutely unwell patient.
• Improve the monitoring and security of blank prescriptions stored in consulting rooms.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

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 RP Aurora’s Practice, also known as Oxford Drive Medical Centre, on 25 November 2015. 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.
• Most risks to patients were assessed and well managed, although the practice had yet to carry out an infection control audit in 2015.
• 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.
• Patients said they found it easy to access the service to make an appointment, although some patients said they found it difficult to make an appointment with their preferred GP. Urgent appointments were 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 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:

• Assess the competency of non-clinical staff who undertake chaperone duties.
• Ensure an audit programme is followed to review annual compliance with infection prevention and control standards.
• Carry out a legionella risk assessment to identify and monitor the risks associated with legionella bacteria.
• Advertise that translation services are available to patients on request.
• Maintain a record of decisions and actions arising from clinical and partners meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice