We carried out a review of the data available to us about Dr Amar Kaw on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Dr Amar Kaw, you can give feedback on this service.
We previously carried out an announced comprehensive inspection at Dr Amar Kaw on 30 August 2016. The overall rating for the practice was good. Within that overall rating the practice was rated as requires improvement for providing safe services. This was because it was not meeting legal requirements in relation to some aspects of:
Infection prevention and control.
Fire and electrical safety.
Disclosure and Barring Service (DBS) checks for staff. DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable.
The full comprehensive report of the August 2016 inspection can be found at www.cqc.org.uk/location/1-507808099.
This inspection on 24 October 2017 was an announced focused inspection and was carried out to confirm that the practice had completed its plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 30 August 2016. This report covers our findings in relation to those requirements.
Overall the practice is rated as good.
Our key findings were as follows:
Every member of staff carrying out chaperone duties had received a DBS check.
The practice took action to mitigate risks associated with the spread of infection and with legionella.
Staff had completed fire training.
An exposed light socket in the patient toilet had been replaced.
The provider had also acted on recommendations we made at our previous inspection and implemented additional improvements:
The practice had reviewed and updated its service continuity plan for major incidents such as power failure or building damage. The plan included emergency contact numbers for staff.
Action had been taken to increase child immunisation rates and the practice had vaccinated 100% of children up to age two. The national expected coverage of vaccinations is 90%.
From the sample of two documented examples we reviewed we found that care plans for people with learning disabilities were complete. The practice had ten people on its learning disabilities register.
At our previous inspection on 30 August 2016 we rated the practice as requires improvement for providing safe services because not all risks to the health and safety of service users were being managed and mitigated. At this inspection we found the shortfalls we identified had been remedied. Consequently, the practice is rated as good for providing safe services.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Amar Kaw on 30 August 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvement are:
Carry out a legionella risk assessment to mitigate risks associated with the bacterium.
Complete DBS checks for all staff members acting as a chaperone or carry out a risk assessment mitigating the risks of not having a DBS check in place.
Mitigate risks associated with transferring clinical waste from white bags to orange clinical waste bags.
Fix the exposed light socket in the patient toilet to ensure patient safety.
Ensure a programme of annual training is carried out for all staff members including fire safety training.
The areas where the provider should make improvement are:
Complete the review of the practice business continuity plan.
Review the system for recalling children for their immunisations to increase immunisation rates so they are in line with CCG and national averages.
Review the process for the use of care planning to improve patient care.
Chief Inspector of General Practice