- GP practice
Archived: AK Rana
Important:
This service is now registered at a different address - see new profile
All Inspections
25 May 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at AK Rana on 14 January 2016. The overall rating for the practice was good. The full comprehensive report on the 14 January 2016 inspection can be found by selecting the ‘all reports’ link for AK Rana on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 25 May 2017 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 14 January 2016. There were concerns due to the registered person did not do all that was reasonably practicable to assess, monitor, manage and mitigate risks to the health and safety of service users.
Our key findings were as follows:
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Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
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The practice used innovative and proactive methods to improve patient outcomes, working with other local providers to share best practice. For example the practice referred patients for social prescribing to improve their overall wellbeing.
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Feedback from patients about their care was consistently positive.
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The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs. For example the practice referred patients for social prescribing.
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The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group. For example the PPG suggested a PPG notice board to encourage new members and to keep patients informed of developments at the practice.
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The practice had good facilities and was well equipped to treat patients and meet their needs, however, the main entrance was not wheelchair user friendly.
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The practice actively reviewed complaints and how they are managed and responded to, and made improvements as a result.
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The practice had a clear vision which had quality and safety as its top priority. The strategy to deliver this vision had been produced with stakeholders and was regularly reviewed and discussed with staff.
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The practice had strong and visible clinical and managerial leadership and governance arrangements.
However there were areas of practice where the provider should make improvements:
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Review their health and safety risk assessment and ensure it is specific to the practice.
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Ensure that there is a system in place to assist wheelchair and pushchair users in gaining access through the main doors.
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Ensure improvements are made to address patient access to appointments and some aspects of care as outlined in the patient survey.
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Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
14 January 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Merchant Street Practice on Thursday 14 January 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
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Some risks to patients were assessed and well managed. However, systems and processes to address risks were not implemented well enough to ensure patients and staff were kept safe.
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The practice had a number of policies and procedures to govern activity.
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The practice had a ramp for disabled access but did not have toilet facilities for disabled people or a baby changing area.
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Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- 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 a named GP and that there was continuity of care, with urgent appointments available the same or next day.
- 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.
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
The areas where the provider must make improvements are:
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carry out annual assessment of the risks related to the safe use of electrical equipment, infection prevention and control, fire safety, and legionella.
The areas where the provider should make improvements are:
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The practice should meet patient’s access needs for disabled toilet and baby changing facilities or carry out a Disability Access Audit.
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Ensure recruitment arrangements include all necessary employment checks for all staff.
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The practice should complete weekly cleaning schedules.
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The practice should review their policies and procedures to ensure the security and tracking of blank prescriptions at all times.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice