We carried out an announced comprehensive inspection at Dr Manjit Singh’s practice also known as Cambridge Street surgery on 20 January 2017. The overall rating for the practice was Good, however, it was rated requires improvement for providing safe services. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Dr Manjit Singh on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 15 March 2018 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 20 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice continues to be rated as Good, however the practice also continues to be rated as requires improvement for providing safe services.
Our key findings were as follows:
- The practice had reviewed and developed some systems to ensure that risks in some areas were monitored and managed appropriately, for example in relation to the management of patient safety alerts, legionella assessment and the management of significant events.
- The practice did not demonstrate effective systems were in place in relation to recruitment and prescription safety.
- The practice had completed some medicine audits in line with local guidelines; however they were unable to demonstrate quality improvement through these audits.
- The practice had assessed patients ‘needs and delivered care in line with current evidence based guidance. Since the previous inspection the practice had introduced a systematic approach for the implementation of clinical guidelines.
- The practice had considered future planning and since the last inspection had implemented a formal written business plan.
- The practice had ensured that a female locum was available on a regular basis for female patients.
- The practice had reviewed the number of carers on their practice list and had seen an increase in the number of carers to 2%.
- Since the previous inspection patient feedback on nursing staff, telephone access and availability of pre-bookable appointments was below the national average. At this inspection we found the practice had seen an improvement in patient satisfaction in the July 2017 GP patient survey results.
However there were areas of practice where the provider must make improvements:
- Ensure care and treatment is provided in a safe way to patients
In addition the provider should:
- Strengthen the current process to demonstrate the action taken on receipt of safety alerts.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice