4 October 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Lalta Sachdeva (also known as Abbey Court Medical Centre) on 9 February 2017. The overall rating for the practice was requires improvement. The practice was rated as requires improvement for providing effective, caring and well-led services and rated as good for providing safe and responsive services. The full comprehensive report on the February 2017 inspection can be found by selecting the ‘all reports’ link for Dr Lalta Sachdeva on our website at www.cqc.org.uk.
This inspection was an announced focused inspection conducted on 4 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements, in relation to the breaches in regulations that we identified in our previous inspection on 9 February 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
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The practice had improved its systems and processes in order to help ensure care plans were comprehensive in detail.
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Data showed patient outcomes were below the local and national average in some areas of care, Quality and Outcomes Framework
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Governance arrangements had been improved. These helped to ensure there was an effective system for routinely checking the indemnity insurance of all clinical staff, thatcare plans were being routinely reviewed, monitored and updated (where appropriate) and test results were being routinely actionedAdditionally, national GP patient survey results were also being monitored and reviewed.
The practice had also taken appropriate action to address areas from our previous inspection where they should make improvements:
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The practice had taken appropriate measures to help ensure they identified patients who are also carers so that they are offered appropriate support. % of the practice list).
However, there were areas where the provider should make improvement:
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Continue to ensure care plans are updated, in accordance with their action plan to address areas where data is unknown. For example, care plans which had next of kin contact details recorded as ‘unknown’.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice