Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr BK Jaiswal’s Practice and on 28 February 2016. The overall rating for the practice was good. The full comprehensive report on 28 February 2016 inspection can be found by selecting the ‘all reports’ link for Dr BK Jaiswal’s Practice on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 13 March 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 28 February 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
At our previous inspection on 28 February 2016, we rated the practice as requires improvement for providing safe services. Not all staff were had received mandatory training and the practice had not risk assessed not having a defibrillator. In addition, the practice did not provide us with evidence to demonstrate that medical equipment had been calibrated and annual internal infection control audits were carried out. At this inspection we found these issues had been satisfactorily addressed with the exception of infection control training and fire safety. However, we saw evidence that both these training had been booked. The practice is now rated as good for providing safe services.
Our key findings were as follows:
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The practice had a defibrillator available on the premises with adult and children’s pads and we saw records to confirm this had been checked daily.
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The practice provided us with evidence which demonstrated that all medical equipment had been calibrated by an external organisation.
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Annual internal infection control audits were implemented.
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We found that not all staff had completed mandatory training, for example, fire safety and infection control. However we saw evidence which confirmed this training had been booked for April 2017.
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Following the comprehensive inspection, the practice told us they took practical steps to ensure all patients had the opportunity to join the patient participation group (PPG).The PPG was brought to patient’s attention by way of the practice leaflet, repeat prescriptions and staff members who informed patients about it opportunistically.
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Policies we reviewed were all updated and practice specific. All practice policies were digitised, however they also had access to paper copies which were kept in a clearly labelled folder in a lockable room.
The area where the provider should make improvement is:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice