9 December 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Bharani Medical Centre (also known locally as Cordwallis Road surgery), 1 Cordwallis Road, Maidenhead, SL6 7DQ on 9 December 2015. Overall the practice is rated as good.
Specifically, we found the practice good for providing safe, effective, responsive, caring and well led services.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. The majority of information about safety was recorded, monitored and reviewed.
- Risks to patients were assessed and well managed.
- We found that completed clinical audits cycles were driving positive outcomes for patients.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- 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 were available and easy to understand.
- Patients said they found it easy to make an appointment with a named GP, with urgent appointments available on 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 proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
However, there were areas where the provider needs to make improvements.
Importantly the provider should:
- Ensure there are systems in place for effective care and monitoring of diabetic patients.
- Implement a system to promote the benefits of breast and bowel screening to increase patient uptake.
- Take action to review their approach and support for patients with carers responsibility.
- Organise a training to improve staff customer services and interaction skills.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice