• Doctor
  • GP practice

Dr Anoop Sahal Also known as The Family surgery

Overall: Good read more about inspection ratings

94 Navigation Road, Altrincham, Cheshire, WA14 1LL (0161) 929 9300

Provided and run by:
Dr Anoop Sahal

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr Anoop Sahal 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 Anoop Sahal, you can give feedback on this service.

07 May 2021

During an inspection looking at part of the service

We carried out a focused desktop review at the practice of Dr Anoop Sahal on 7 May 2021. The practice is now rated ‘good, for providing ’well led’ services and remains rated ‘good’ overall. The population group families, children and young people is now rated as ‘good’.

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Following our previous focused inspection on 5 February 2020 where we focused on the key questions effective and well led, the practice was rated ‘good’ overall. The key questions safe, caring and responsive were not rated at the inspection on 5 February 2020 and the ratings of ‘good’ from an inspection on 21 December 2016 were carried forward. Effective was rated ‘good’ but rated ‘requires Improvement’ for providing well led services.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Anoop Sahal on our website at www.cqc.org.uk

Why we carried out this review

This inspection was a focused desk top review carried out on 7 May 2021 to confirm that the practice had carried out its plan to meet the requirements in relation to those identified in our previous inspection on 5 February 2020. This report covers our findings in relation to

those requirements and also additional improvements made since our last inspection.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections and reviews differently.

This review was carried out in a way which enabled us to analyse information without spending time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included

  • Analysing data about the services provided
  • Requesting evidence from the provider

Our findings

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

  • information from our ongoing monitoring of data about services and
  • information from the provider.

We have rated this practice as Good overall with the key question well led and population group Families, children and young people now rated as Good.

We found that:

  • The practice established effective systems and processes to ensure good governance in accordance with the fundamental standards of care
  • Improvements were made to the system for managing alerts
  • Meetings were formalised and actions were recorded and managed effectively
  • The uptake of childhood immunisations was greatly improved

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

05 February 2020

During an inspection looking at part of the service

Dr Anoop Sahal had a full comprehensive inspection on 14 January 2015 when it was rated good overall but required improvement for the key question of safe because staff had not been appropriately trained in safeguarding. On 21 December 2016 we undertook a desk top review of documents submitted to the Commission providing assurance that the appropriate training had been completed. At that time the practice was rated good for the key question safe and remained good overall and for all the other key questions.

We carried out an announced focused inspection at Dr Anoop Sahal on 5 February 2020 as part of our inspection programme. We focused our inspection on the key questions effective and well led. The key questions safe, caring and responsive were not rated at this inspection and the ratings of good from the last inspection were carried forward. 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 have rated this practice as good overall. The key questions of safe, caring, and responsive were not rated at this inspection and the previous rating has not changed. We rated the key question effective as good.

The key question well led is rated requires improvement because the governance arrangements do not ensure that fire risks are sufficiently identified, understood and managed.

The population groups are all rated good with the exception of families and young people which is rated requires improvement because of the very low rate of uptake in child immunisations.

We found that:

  • Systems processes, and practices safeguarded people from abuse.
  • There were systems and processes in place to ensure the proper and safe use of medicines.
  • There were arrangements to ensure the premises were kept clean and infection free.
  • There was a process to report and learn when things went wrong.
  • Patients’ needs, and choices were assessed, and care, treatment and support were delivered in line with current legislation.
  • Staff were appropriately trained and dealt with patients with kindness and respect.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • Risks were not always identified or managed. There was no evidence that a fire risk assessment had ever been completed, and we saw evidence of fire risk.

The provider must

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The provider should:

  • Make improvements to the system for managing safety alerts so that it is failsafe.
  • Formalise meetings so that actions are recorded and managed effectively.
  • Improve the uptake of childhood immunisations.

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

21 December 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Dr Anoop Sahal for one area within the key question safe.

At this inspection we found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was previously inspected on 14 January 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall. However, within the key question safe, safeguarding was identified as requires improvement, as the practice was not meeting the legislation at that time. The areas where the practice was told they must make improvements were as follows :

Regulation 11 HSCA 2008 (Regulated Activities) Regulations 2010 Safeguarding people who use services from abuse

  • Dr Anoop Sahal who was the safeguarding lead, had completed training to level three, but this was due to be updated in November 2014. We saw no other members of staff including the practice nurse had completed safeguarding training for children or adults. DBS checks had not been carried out for the practice nurse.

The practice has submitted to the CQC, a range of documents which demonstrates they are now meeting the requirements of Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) (now Regulation 13) Regulations 2014.

In addition there were areas where the practice were told they should make improvements. These were as follows :

  • Ensure full audits of practice were undertaken, including completed clinical audit cycles;

  • Ensure all staff had appropriate policies, procedures and guidance in place for assessing patients under the Mental Capacity Act 2005.

The practice has submitted to the CQC, a range of documents which demonstrates they have made these suggested improvements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

14/01/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Anoop Sahal on 14th January 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services; It required improvement for providing safe services.

During our inspection the comments from patients were positive about the care and treatment they received. In the national GP survey 2014 99% of respondents describe their overall experience of this practice as good, 12% above the national average.

Our key findings across all the areas we inspected were as follows:

  • Staff understood their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded and addressed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned, with the exception of safeguarding and Mental Capacity Act training.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with the GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must:

Ensure the GP completed level three safeguarding (children) update and all staff completed safeguarding training for children or adults.

Ensure all clinical staff have undergone disclosure and barring (DBS) service checks.

In addition the provider should:

  • Ensure full audits of practice are undertaken, including completed clinical audit cycles.
  • Ensure all staff have appropriate policies, procedures and guidance in place for assessing patients under the Mental capacity Act 2005.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice