We first carried out an announced comprehensive inspection at The Chowdhury Practice on 21 September 2018. The practice was rated as requires improvement overall with the following key question ratings:
Safe – requires improvement
Effective – requires improvement
Caring – requires improvement
Responsive – good
Well-led – requires improvement.
There were breaches of regulations 12 (safe care and treatment) and 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The current inspection was carried out on 13 September 2019. This was a full comprehensive inspection carried out as part of our inspection programme, and it was also to check that the required improvements had been made.
At this inspection on 13 September 2019 we rated the practice as good overall and in all the key questions and population groups. Improvements had been made in all the areas of previous concern.
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:
- Check that staff have received immunisations appropriate for their role. These include tetanus and measles, mumps and rubella (MMR) for non-clinical staff.
We found an area of outstanding practice:
- The practice manager had introduced a new system so they could easily see what training each staff member had completed and when it should be renewed. The had linked relevant policies with on-line training courses, so in addition to the on-line learning staff were made familiar with practice policies. This also provided an audit trail confirming staff had taken the time to read practice policies.
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