15 December 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Nagappan Selvan (Gough Walk Practice) on 15 December 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- Pre-employment reference checks had not been completed for all staff.
- Not all staff had received a DBS check (Disclosure and Barring Service) or suitable risk assessment of the need.
- The national GP patient survey showed that patient satisfaction was below both local and national averages in a number of areas.
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- The practice did not have a business plan to help it to develop and reach its future goals.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
- 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. Improvements were made to the quality of care as a result of complaints and concerns.
- 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.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider should make improvement are:
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Ensure that all relevant pre-employment checks are carried out for all staff as specified in Schedule 3 of Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
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Address the issues highlighted in the national GP survey in order to improve patient satisfaction.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice