- GP practice
Archived: Dr Prakashchandra Jain Also known as Dr P Jain
All Inspections
23 March 2018
During a routine inspection
This practice is rated as good overall. (Previous inspection May 2015 – Good) The practice was rated as requires improvement for safety at the previous comprehensive inspection in May 2015. The practice acted quickly to address concerns on that occasion and was re-rated as good for safe practice at a focussed inspection in May 2016.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Dr Prakaschandra Jain on 23 March 2018 as part of our inspection programme.
At this inspection we found:
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The practice took steps to improve systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
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The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Patients found the appointment system extremely easy to use and reported that they were able to access care when they needed it. Patients had asked the GP to keep an open appointment system when he took over the practice 30 years ago. This remained in place, and feedback showed it was appreciated by patients.
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The practice leadership was knowledgeable about issues and priorities relating to the quality and future of services. They understood the challenges and were addressing them.
The areas where the provider should make improvements are:
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Put in place a formal system to be able to demonstrate when patient safety alerts have been read and actioned by staff.
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Look at ways of ensuring patients can access the practice premises easily and can call ofr assistance when required.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
19/05/2016
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Dr Prakashchandra Jain on 27 May 2015, during which a breach of a legal requirement set out in the Health and Social Care Act (HCSA) 2008 was found:
Regulation 12 HCSA 2008 (Regulated Activities) Regulations 2014 Safe Care and Treatment
After the comprehensive inspection the practice wrote to us to say what they would do to meet the following regulation. On 19 May 2016 we undertook a focussed inspection where we visited the practice to check whether the provider had taken steps to comply with the legal requirements. This report only covers our findings in relation to this requirement. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dr Prakashchandra Jain on our website at www.cqc.org.uk.
Our key findings were as follows:
- The practice had undertaken a fire risk assessment which had identified concerns with fire safety at the practice. Action was taken to address these concerns and a follow-up fire risk assessment found they had been resolved.
- Staff at the practice had received fire training. There was now a record of fire drills and fire alarm testing in place.
- The practice had an adequate supply of emergency oxygen at the premises and staff were appropriately trained to use it.
- The practice had undertaken testing of their portable electrical equipment and a legionella risk assessment.
- Infection control audits had been completed and action had been taken as a result of their findings. For example, a new sink had been installed in the treatment room and new flooring had been laid in the treatment room and in the GP consultation room.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
27 May 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Dr P Jain’s Practice on 27 May 2015.
Overall, we rated the practice as good. We found the practice to be good for providing, effective, caring, responsive and well-led services. We also found the practice requires improvement for providing safe services. Our key findings were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Staff reported feeling able to voice any concerns or make suggestions for improvement
- Health and Safety risks to patients and staff were not always regularly assessed or well managed.
- The practice learned from incidents and took action to prevent any recurrence.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Feedback from patients was positive; they told us staff treated them with respect and kindness.
- Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- Information about services and how to complain was available and easy to understand.
- The practice offered an open access service. All patients who attended the surgery were seen the same day. In addition patients who were unable for clinical reasons to attend the surgery but telephoned for an appointment were also seen on the same day.
- Patients said they found it easy to make an appointment with the GP and nurse and there was continuity of care.
- 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.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
- Ensure all staff have received annual fire training and that a record of fire drills and fire alarm testing is maintained. Ensure that effective fire risk assessments are undertaken in accordance with the regulations.
- Ensure that the practice has an adequate supply of emergency oxygen at the premises and staff are appropriately trained to administer it.
- Arrange for the testing of their portable electrical equipment.
- Ensure the testing (or risk assessment) for the presence of legionella is undertaken.
- Ensure effective infection control audits are undertaken at appropriate intervals and that any concerns are addressed.
In addition the provider should:
- Introduce management systems to ensure records are maintained which ensure policies and procedures are regularly reviewed, up dated and shared with staff.
- Introduce a system to ensure that there is a record of all discussions with staff about risks and significant events.
- Ensure systems are in place to obtain patients views and feedback including reviewing the use of a patient participation group.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice