Background to this inspection
Updated
2 March 2017
The practice of Dr Vijaya Joshi, also known as Chapel Medical Centre is situated in a converted chapel, located on the main road in Irlam. At the time of our inspection there were approximately 2200 patients registered with the practice. It is a member of NHS Salford Clinical Commissioning Group (CCG).
There are two GPs (both female) and a practice nurse and a healthcare assistant. There is also a practice manager with a supporting reception and administration team.
The practice delivers commissioned services under the General Medical Services (GMS) contract.
The practice is open on a Monday, Tuesday, Thursday and Friday from 8am to 6pm, and Wednesday from 8am to 8pm.
Patients can book appointments online, in person or by phone. Emergency appointments are available each day. There is an out of hours service available provided by Salford Royal NHS Foundation Trust
Updated
2 March 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Vijaya Joshi on 15 March 2016. The overall rating for the practice was good, however the practice required improvement in the key question safe. The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Dr Vijaya Joshi on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 9 February 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 15 March 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice remains rated as good.
Our key findings were as follows:
- We reviewed a range of documents and spoke with staff which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe care and treatment and Regulation 19 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Fit and proper persons employed
- Significant events were now recorded appropriately and systems were in place to disseminate learning from the discussion and analysis of these, with a clear audit trail in place.
- The registered provider had ensured that recruitment arrangements included all necessary employment checks for all staff that included taking up references and completing enhanced disclosure and barring service checks, in particular for staff who were already undertaking chaperoning duties.
On this inspection we also found that the practice had:
- Reviewed the Patient Group Directions and the Patient Specific Directions to ensure they are all signed.
- Ensured that non-clinical team meetings were held on a regular basis.
- Implemented a note summarising procedure and note summarising training for staff performing the task.
- Reviewed confidentiality at the reception desk.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
2 March 2017
The practice is rated as good for the care of people with long term conditions.
This rating was given following the comprehensive inspection on 15 March 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-493161426
Families, children and young people
Updated
2 March 2017
The practice is rated as good for the care of families, children and young people.
This rating was given following the comprehensive inspection on 15 March 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-493161426
Updated
2 March 2017
The practice is rated as good for the care of older people.
This rating was given following the comprehensive inspection on 15 March 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-493161426
Working age people (including those recently retired and students)
Updated
2 March 2017
The practice is rated as good for the care of working age people (including those recently retired and students).
This rating was given following the comprehensive inspection on 15 March 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-493161426
People experiencing poor mental health (including people with dementia)
Updated
2 March 2017
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia)
This rating was given following the comprehensive inspections on 15 March 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-493161426
People whose circumstances may make them vulnerable
Updated
2 March 2017
The practice is rated as good for the care of people whose circumstances may make them vulnerable.
This rating was given following the comprehensive inspection on 15 March 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-493161426