28 September 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at the surgery of Dr Senathirajah Sellappah on Wednesday 28 September 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
- Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- The practice had identified ten patients as carers (0.4% of the practice list).
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management.
- The practice sought feedback from staff and patients, which it acted on. A meeting of the Patient Participation Group had not taken place in the 18 months preceding the inspection. However the practice had booked a PPG meeting to take place four weeks after the inspection.
- The provider was aware of and complied with the requirements of the duty of candour.
There were areas where the provider should make improvements.
- The provider should consider proactive strategies to encourage patients to join the patient participation group (PPG) and to re-establish regular meetings of the group.
- The provider should review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to all carers on the practice list.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice