Archived: Dr Parveen Singh Ghatora Also known as Field Street Surgery

We carried out a comprehensive inspection at Dr Parveen Singh Ghatora on 11 March 2020 as part of our inspection programme.

The service was previously inspected in December 2015 and was rated Good overall at that inspection.

We carried out an inspection of this service as we believed there may have been a change in its overall rating since our previous inspection.

Following our review of the information available to us, including information provided by the practice, we carried out a comprehensive inspection.

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 Inadequate overall.

We rated the practice as Inadequate for providing safe services because:

• There were insufficient systems for safeguarding children and adults.
• Appropriate recruitment checks had not been undertaken before employing new staff.
• Staff immunisation status was not fully monitored.
• The practice did not have clear systems in place to ensure staff maintained their professional registration.
• Processes to minimise the risk of infection were not always followed.
• Medicines were not always safely managed or monitored.
• The practice did not learn and make improvements when things did not go well.
• Safety alerts were not always received and acted on appropriately.

We rated the practice as Inadequate for providing well-led services because:

• The delivery of high-quality care was not assured by the leadership, governance or culture in place.

We rated the practice as Requires Improvement for providing effective services because:

• Clinical audit was limited and no two cycle audits had been completed to demonstrate improvement.
• There was no effective system for monitoring or recording staff training and not all staff received regular appraisals or comprehensive documented inductions.
• These requires improvement areas impacted all population groups and so we have rated all population groups as requires improvement.

We rated the practice as Good for providing caring services because:

• Staff treated patients with kindness and respect and involved them in decisions about their care. Patients were very positive regarding the quality of care they received from practice staff.

We rated the practice as Good for providing responsive services because:

• The practice organised services to meet patients’ needs. Patients could access care and treatment in a timely way.

The area where the provider must make improvements is:

• Ensure that care and treatment is provided in a safe way.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Continue to identify carers amongst the practice population and review the support offered to carers.
• Continue to improve telephone access for patients.
• Improve complaints information available to patients.
• Continue to explore ways of increasing the number of patients in their patient participation group.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

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