1 December 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 Thyagarajagopalan Krishnamurthy on 9 August 2016. The overall rating for the practice was good. However, the rating for the practice providing safe services was requires improvement and we found six areas where the provider should make improvements that mostly related to safety. The full comprehensive report on the 9 August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Thyagarajagopalan Krishnamurthy on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 1 December 2017 to check that the provider had made improvements and to confirm that they met requirements. This report covers our findings in relation to the areas where the provider should make improvements.
Overall the practice remains rated as good overall and requires improvements for providing safe services.
Our key findings were as follows:
- The practice did not have an effective process for identifying and managing significant events.
- The practice had liaised with relevant health and social care professionals to identify children at risk but systems were not in place to identify and flag vulnerable patients.
- Medicines including emergency medicines were stored appropriately.
- Prescription pads were securely stored and monitored.
- The practice had improved patients telephone access by staggering opening up of appointments throughout the day, to manage incoming calls activity and allow better access to appointments for patients calling later in the day.
- The practice had completed a programme of clinical audit improve outcomes for patients.
- Patients with caring responsibilities were identified and received appropriate support. For example, the practice had identified 1% of its patient list as carers that were given priority appointments and offered annual flu vaccinations, as well as signposting to local support groups and services.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice