CQC carried out an announced comprehensive inspection at Dr Felix Balaratnam (Gillmans Road Surgery) on 10 May 2016. Overall the practice was rated as good. You can read our findings from our last inspection by selecting the ‘all reports’ link for Dr Felix Balaratnam on our website at https://www.cqc.org.uk/location/1-482189920.
We carried out an announced comprehensive inspection at Dr Felix Balaratnam (Gillmans Road Surgery) on 22 October 2019 as part of our inspection programme under Section 60 of the Health and Social Care Act 2008. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014
We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.
This inspection was a comprehensive inspection looking at all key questions.
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 have rated this practice as good overall and requires improvement for safeand good for all population groups.
At this inspection we found:
- The provider had reviewed the arrangements for patients having access to a female GP.
- The provider had reviewed their incident reporting procedure to ensure all incidents, including those identified through complaints, were recorded and processed following the incident reporting procedure.
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events which all staff were aware of.
- Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients 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.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The service had a clear vision to deliver high quality care for patients.
The areas where the provider should make improvements are:
- Continue to regularly monitor patients on high risk medicines.
- Formalise a succession plan.
- Develop the system for monitoring referrals.
- Take appropriate action on unplanned admissions and readmissions.
- Monitor and record effectively the alcohol consumption of patients with mental health problems.
- Identify and record patients with caring responsibilities on the clinical system to ensure information, advice and support is made available to them.
- Take action to address the issues identified by the below average patient satisfaction scores of the GP patient survey.
- Give staff protected time to undertake learning and development activities.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP Chief Inspector of Primary Medical Services and Integrated Care