Dr Buyanovsky Ltd Also known as Dr Buyanovsky

This service is rated as Requires improvement overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Inadequate

We carried out an announced comprehensive inspection at Dr Buyanovsky Ltd as part of our inspection programme and to provide a rating for the service. The service provides online and in-person General Practice (GP) consultations for adults and children including travel immunisations.

Our key findings were:

• The practice did not always provide care in a way that kept patients safe and protected them from avoidable harm. We found no evidence of unsafe patient care or patient harm but identified concerns including management of safety alerts and a lack of medicines and equipment for the event of a medical emergency.
• Risks to patients were not always assessed, monitored or managed effectively. This included clinical record keeping, prescriptions management, and chaperoning.
• Records we inspected indicated patients received effective care and treatment that met their needs, but records were incomplete including to ensure appropriate referrals and follow up. There were no arrangements in place to ensure or improve clinical governance or the quality of clinical care.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice organised and delivered services to meet patients’ needs.
• The provider did not have appropriate insight or capacity to lead, manage and promote the delivery of sustainable high-quality care. The provider recognised a need to improve and immediately began to increase its capacity including with additional staffing and external resource.

The areas where the provider must make improvements as they are in breach of regulations are:

• 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.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services