The Care Quality Commission
  • Doctor
  • GP practice

Dr Poonam Jha

Overall: Good read more about inspection ratings

Undercliffe Health Care Centre, 17 Lowther Street, Bradford, West Yorkshire, BD2 4RA (01274) 634989

Provided and run by:
Dr Poonam Jha

All Inspections

14 December 2023

During an inspection looking at part of the service

We carried out a targeted assessment at Dr Poonan Jha in relation to the responsive key question. This assessment was carried out on 14 December 2023 without a site visit. As the other domains were not reviewed during this assessment, the rating of good will be carried forward from the previous inspection and the overall rating of the service will remain Good.

Safe - ‘not inspected, rating of good carried forward from previous inspection’.

Effective – ‘not inspected, rating of good carried forward from previous inspection’.

Caring - ‘not inspected, rating of good carried forward from previous inspection’.

Responsive – Good

Well-led – ‘not inspected, rating of good carried forward from previous inspection’.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for the

Dr Poonan Jha on our website at www.cqc.org.uk

Why we carried out this inspection/review.

We carried out this assessment as part of our work to understand how practices are working to try to meet demand for access and to better understand the experiences of people who use services and providers.

We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.

How we carried out the inspection/review

This assessment was carried remotely.

This included:

  • Conducting staff interviews using video conferencing.
  • Requesting evidence from the provider.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we carried out the assessment
  • 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 understood the needs of its local population.
  • The majority of patients were satisfied with how easy it was to get through to the practice by phone as reflected in the national GP survey results.
  • The provider had implemented systems and processes as a result of patient participation group feedback to further improvements.
  • The provider was working with other local practices within its Primary Care Network to further improve access for patients.
  • The practice dealt with complaints in a timely manner and learned from them.

Whilst we found no breaches of regulations, the provider should:

  • Continue to develop solutions to provide better access to their patients.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

15 January 2019

During a routine inspection

We carried out an announced comprehensive inspection at Dr Poonam Jha 15 January 2019, as part of our inspection programme.

At the last inspection in November 2014 we rated the practice as good overall. The full comprehensive report regarding that inspection can be found by selecting the ‘all reports’ link for Dr Poonam Jha on our website at .

We have rated this 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, public, 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, which were delivered in line with current best practice guidance.
  • Staff treated patients with kindness and respect, involving them in decisions about their care.
  • Patients’ comments were positive about practice staff and the care they received.
  • The practice organised and delivered services responsively and effectively. They addressed any challenges they encountered and engaged patients and staff in any changes to service delivery.
  • Staff demonstrated a good understanding of the patient population they provided care and treatment for.
  • The leadership, governance and culture of the practice promoted the delivery of high-quality, person-centred care.
  • There was a clear demonstration of a caring practice and examples of where staff went the “extra mile” for patients.

Whilst we found no breaches of regulations, the provider should:

  • Complete all actions as identified in their action plan against the recent infection prevention and control audit.
  • Continue to liaise with the contracted cleaning company to ensure that the COSHH sheets match the cleaning chemicals stored in the practice.
  • Continue to review and improve the use of templates for recording care plans in relation to dementia and mental health.

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

Professor Steve Field CBE FRCP FFPG FRCGP

Chief Inspector of General Practice

4 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on the 4 November 2014 as part of our new comprehensive inspection programme.

We found that the practice had made provision to ensure care for patient was safe, caring, responsive and effective and we have rated the practice as good.

Our key findings were as follows:

  • Where incidents had been identified relating to safety, staff had been made aware of the outcome and action taken where appropriate, to keep people safe.
  • All areas of the practice were visibly clean and where issues had been identified relating to infection control, action had been taken.
  • People received care according to professional best practice clinical guidelines. The practice had regular information updates, which informed staff about new guidance to ensure they were up to date with best practice.
  • The service ensured people received accessible, individual and compassionate care, whilst respecting their needs and wishes.
  • The practice has a clear vision to deliver high quality care and promote good outcomes for patients. We found that the visions and values are embedded within the culture of the practice and are being achieved. There are good governance and risk management measures in place. We found that the provider listens to patient comments and takes action to improve their service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice