Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Dr Kaura and Partners on 17 March 2016, which resulted in the practice being rated as good overall but as requiring improvement for providing effective services. The full comprehensive report can be found by selecting the ‘all reports’ link for Dr Kaura and Partners on our website at
www.cqc.org.uk
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This inspection was a desk-based review carried out in December 2016 to confirm that the practice had carried out steps to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection in March 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Our key findings were as follows:
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Since our previous inspection staff had completed all mandatory training. A training matrix was in operation to help identify gaps or when updates were due.
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Unless specifically requested by the patient making the complaint, complaints information was not stored on a patients medical record.
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A system was now in place to ensure all meetings were minuted and minutes saved where they could easily be accessed by staff
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The practice had obtained documentary evidence confirming that NHS Property Services had carried out relevant Health and Safety checks. However, the last legionella risk assessment, carried out in July 2012, had highlighted some action points and the accompanying report, which was produced in July 2014 had recommended that a re assessment be carried out every two years. When this was pointed out to the practice during the inspection they contacted NHS Property Services to obtain a more up to date copy. However this was not received before finalising this report.
The practice should therefore:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice