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Goldington Road - Dr Das, Bedford.

Goldington Road - Dr Das in Bedford is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 5th April 2017

Goldington Road - Dr Das is managed by Goldington Road - Dr Das.

Contact Details:

    Address:
      Goldington Road - Dr Das
      12 Goldington Road
      Bedford
      MK40 3NE
      United Kingdom
    Telephone:
      01234355588

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 2017-04-05
    Last Published 2017-04-05

Local Authority:

    Bedford

Link to this page:

    HTML   BBCode

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.

8th March 2017 - During an inspection to make sure that the improvements required had been made pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Goldington Road Surgery Dr Das on 19 July 2016. The overall rating for the practice was requires improvement as breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to;

  • Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment.
  • Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – good governance.
  • Regulation 19 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – fit and proper persons employed.

From the inspection on 19 July 2016, the practice were told they must:

  • Ensure a suitably qualified person conducts a fire risk assessment and that all required actions are completed in a timely manner. Undertake fire drills routinely.

  • Ensure the newly developed recruitment policy is adhered to and that appropriate recruitment checks are performed for staff employed, including locums. All records relating to recruitment should be readily available for review.

  • Systems and processes must be established and operated effectively for assessing and mitigating risks.

In addition, the practice were told they should:

  • Develop a system to ensure all staff employed receive regular appraisals of their skills, abilities and development requirements.

  • Undertake regular infection control audits.

  • Implement the actions identified in the risk assessment relating to legionella.

  • Undertake planned work to improve access for patients with limited mobility, through the provision of appropriate amenities.

  • Develop systems to identify and support carers in their patient population.

The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Goldington Road Surgery Dr Das on our website at www.cqc.org.uk.

This inspection was a focused follow up carried out on 8 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 19 July 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • A suitably qualified person had been employed to undertake a fire risk assessment and all identified required actions had been completed in a timely manner. Including the installation of a fire alarm, emergency lighting and additional fire extinguishers. A system of routine maintenance and regular checks, including provision of regular fire drills had been developed.

  • The practice had improved governance arrangements to ensure that records were securely maintained and managed appropriately, in particular in relation to persons employed. Records relating to recruitment were readily available.

  • The practice had developed a risk management system and we saw evidence of risk assessment and actions taken is response to risks identified. For example, those relating to infection control. All risks identified in the legionella risk assessment had been completed in a timely manner.

  • All staff received regular annual appraisals and performance was monitored appropriately.

  • The practice had applied for funding to make improvements to the practice building with the intention of utilising any secured funds to improve disabled access, including but not limited to the provision of a disabled toilet.
  • The practice had improved available information for carers and had initiated a targeted effort to identify more carers in their population; increasing the number identified on the carers register from nine to 12. We were told that due to the amount of work undertaken in the months preceding our inspection; to ensure the practice met legal standards, the practice had been unable to dedicate resources toward identifying more carers. We were told that as all other improvement work reached completion the practice had started to make efforts to identify more carers, including changes to the patient registration form and creation of a dedicated carers form for completion. A noticeboard and carers information pack had also been updated.

The areas where the provider should make improvements are:

  • Continue with efforts to develop systems to identify and support carers in their patient population.
  • Undertake planned work to improve access for patients with limited mobility, through the provision of appropriate amenities.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

19th July 2016 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Goldington Road Surgery Dr Das on 19 July 2016. The overall rating for the practice was requires improvement as breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to;

  • Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment.
  • Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – good governance.
  • Regulation 19 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – fit and proper persons employed.

From the inspection on 19 July 2016, the practice were told they must:

  • Ensure a suitably qualified person conducts a fire risk assessment and that all required actions are completed in a timely manner. Undertake fire drills routinely.

  • Ensure the newly developed recruitment policy is adhered to and that appropriate recruitment checks are performed for staff employed, including locums. All records relating to recruitment should be readily available for review.

  • Systems and processes must be established and operated effectively for assessing and mitigating risks.

In addition, the practice were told they should:

  • Develop a system to ensure all staff employed receive regular appraisals of their skills, abilities and development requirements.

  • Undertake regular infection control audits.

  • Implement the actions identified in the risk assessment relating to legionella.

  • Undertake planned work to improve access for patients with limited mobility, through the provision of appropriate amenities.

  • Develop systems to identify and support carers in their patient population.

The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Goldington Road Surgery Dr Das on our website at www.cqc.org.uk.

This inspection was a focused follow up carried out on 8 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 19 July 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • A suitably qualified person had been employed to undertake a fire risk assessment and all identified required actions had been completed in a timely manner. Including the installation of a fire alarm, emergency lighting and additional fire extinguishers. A system of routine maintenance and regular checks, including provision of regular fire drills had been developed.

  • The practice had improved governance arrangements to ensure that records were securely maintained and managed appropriately, in particular in relation to persons employed. Records relating to recruitment were readily available.

  • The practice had developed a risk management system and we saw evidence of risk assessment and actions taken is response to risks identified. For example, those relating to infection control. All risks identified in the legionella risk assessment had been completed in a timely manner.

  • All staff received regular annual appraisals and performance was monitored appropriately.

  • The practice had applied for funding to make improvements to the practice building with the intention of utilising any secured funds to improve disabled access, including but not limited to the provision of a disabled toilet.
  • The practice had improved available information for carers and had initiated a targeted effort to identify more carers in their population; increasing the number identified on the carers register from nine to 12. We were told that due to the amount of work undertaken in the months preceding our inspection; to ensure the practice met legal standards, the practice had been unable to dedicate resources toward identifying more carers. We were told that as all other improvement work reached completion the practice had started to make efforts to identify more carers, including changes to the patient registration form and creation of a dedicated carers form for completion. A noticeboard and carers information pack had also been updated.

The areas where the provider should make improvements are:

  • Continue with efforts to develop systems to identify and support carers in their patient population.
  • Undertake planned work to improve access for patients with limited mobility, through the provision of appropriate amenities.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

 

 

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