We previously carried out an announced, comprehensive of Dr V C Tiguti & Partners on 6 February 2015 and rated the practice as good overall and in all five key questions. We made three best practice recommendations:
- Introduce a system to check that GP prescription pads used for home visits are tracked through the practice.
- Ensure that they follow their own standard operating procedures in the receiving of and dispensing of controlled drugs.
- Introduce regular staff meetings to support and involve staff.
The full comprehensive report for the inspection in February 2015 can be found by selecting the ‘all reports’ link for Dr V C Tiguti & Partners on our website at .
We carried out an announced, focused inspection at Dr V C Tiguti & Partners on 18 December 2019 as part of our inspection programme. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: safe, effective and well-led. Due to assurances we received from our review of information, we carried forward the ratings of good for the following key questions: caring and responsive from our previous 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 good overall and in effective and well-led however, requires improvement in safe. We rated each population group as good.
We rated the practice as requires improvement in safe because:
- Used sharp’s boxes had not been collected within three months after first use, even if not full.
- Risk assessments had not been completed to mitigate potential risks for the storage of prescription stationery in a printer at the branch practice.
- When the manufacture’s maximum temperature range had been exceeded in fridges used to store vaccines, the practice had not followed the processes detailed in their cold chain policy to ensure that vaccines were safe to administer.
- When changes were made to procedures as a result of a significant event, the standard operating procedure for dispensing of medicines had not been updated.
- On the day of our inspection, systems to review trends in significant events over time were not in place. Following our inspection, the practice forwarded to us a newly implemented system whereby they would collectively record and review significant events over time.
- An overarching record of Medicines and Healthcare products Regulatory Agency (MHRA) alerts to track actions taken by the practice over time was not in place. Following our inspection, the practice forwarded to us a newly implemented system to monitor and track MHRA alerts.
We rated the practice as good in effective because:
- Patients received effective care and treatment that met their needs.
- Staff had the skills, knowledge and experience to carry out their roles.
- Staff were proactive in helping patients to live healthier lives. The practice had exceeded the 80% target for cervical cancer screening.
- The practice obtained consent to care and treatment in line with legislation and guidance.
We rated the practice as good in well-led because:
- Leaders demonstrated that they understood the challenges to quality and sustainability within the practice.
- A clear practice vision was not in place however, a strategy to provide high quality care was in place.
- Staff told us that there was an open, transparent and caring culture within the practice and that they felt supported by the management team to carry out their roles.
- There were systems in place for reviewing patient feedback however due to patient sickness the patient participation group was currently inactive.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients
The areas where the provider should make improvements are:
- Embed into practice the newly implemented systems to review significant events over time and monitor and track MHRA alerts.
- Develop a clear practice vision in collaboration with staff, patients and external partners.
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