We carried out an announced comprehensive inspection at Dr Bhalla’s and Partners on 6 October 2022. Overall, the practice is rated as good.
Safe - good
Effective - good
Caring - good
Responsive - good
Well-led - good
Why we carried out this inspection
This inspection was a comprehensive inspection due to changes to the registration of the provider and includes the safe, effective, caring, responsive and well-led key questions.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
Our findings
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.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Our review of clinical records found medicines were well managed.
- The practice continually reviewed and monitored the effectiveness of its services.
- Feedback from patients were mixed about how staff dealt with patients, however the practice staff were taking action to address this.
- Staff had the skills, knowledge and experience to carry out their roles effectively.
- The culture of the practice drove the delivery and improvement of high-quality, person-centred care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The practice learned from incidents, events and complaints and ensured learning was shared amongst the staff team.
- We found the premises were well maintained, appeared clean and tidy and had appropriate infection prevention and control arrangements in place.
- Patients received effective care and treatment that met their needs. Our review of clinical records found effective systems were in place for follow up and monitoring of patients with long term conditions.
Whilst we found no breaches of regulations, the provider should:
- Improve the uptake of childhood immunisations and cervical cancer screening.
- Continue to improve outcomes for patient satisfaction and monitor the impact of these changes.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services