Background to this inspection
Updated
24 October 2016
Dr Krishna Khatri provides primary care services to its registered list of approximately 3100 patients. The practice is situated and the inspection was conducted at the Surgery, Astley.
This is a purpose built GP Surgery with disabled access. There are parking facilities, including disabled spaces, and it is easily accessible by local transport links.
The two GP partners, one full time and one part time (both female), were providing general medical services to registered patients at the practice. The GPs are supported in providing clinical services by one practice nurse (female). Clinical staff are supported by the practice manager and her team who are responsible for the general administration and organisation of systems within the practice.
The age profile of the practice is very similar to the CCG and national averages. The male life expectancy for the area is 79 years compared with the CCG averages of 77 years and the national average of 79 years. The female life expectancy for the area is 83 years compared with the CCG averages of 81 years and the national average of 83 years. The practice has a higher percentage (67%) of working status (paid work or full-time education) patients compared to the CCG (59%) and national averages (62%).
The practice delivers commissioned services under the Personal Medical Services (PMS) contract with NHS England and is part of Wigan Clinical Commissioning Group. It offers direct enhanced services for the childhood vaccination and immunisation scheme, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, learning disabilities, minor surgery, rotavirus and shingles immunisation and unplanned admissions.
The practice is open between 8am to 6.30pm on Monday, Tuesday and Friday, 8am and 8pm on a Thursday and from 8am to 12pm on a Wednesday. Routine GP appointments are available each morning from 9.20am to 12pm, and on Monday from 4pm to 6pm, Tuesday, Thursday and Friday from 4pm to 6.30pm. There are also appointments available from 6.30pm to 8pm on a Thursday evening.
Patients requiring a GP outside of normal working hours are advised to contact the surgery and they will be directed to the local out of hour’s service which is provided by Bridgewater NHS Foundation Trust –through NHS 111. Additionally patients can access GP services in the evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.
Updated
24 October 2016
Letter from the Chief Inspector of General Practice
We undertook this focused inspection of Dr Krishna Khatri on 11 October 2016 for one area within the key question safe.
We found the practice to be good in providing safe services. Overall, the practice is rated as good.
The practice was previously inspected on 6 November 2014. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall. However, within the key question safe, requirements relating to workers was identified as requires improvement, as the practice was not meeting the legislation at that time; Regulation 21 Health & Social Care Act 2008 (Regulated Activities) Regulations 2010: Requirements relating to workers.
- People who use services were not protected against the risks associated with ineffective recruitment procedures and not carrying out relevant checks when employing staff. The provider must take action to ensure that people who use the service are protected by operating effective recruitment and selection procedures that includes relevant checks being carried out (and evidenced) when staff are employed. Regulation 21(a) (b).
On this inspection we reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 21 Health & Social Care Act 2008 (Regulated Activities) Regulations 2010: Requirements relating to workers, now amended by the current legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
24 October 2016
The practice is rated as good for the care of people with long-term conditions.
This rating was given following the comprehensive inspection 6 November 2014. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-511399862
Families, children and young people
Updated
24 October 2016
The practice is rated as good for the care of families, children and young people.
This rating was given following the comprehensive inspection 6 November 2014. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-511399862
Updated
24 October 2016
The practice is rated as good for the care of older people.
This rating was given following the comprehensive inspection 6 November 2014. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-511399862
Working age people (including those recently retired and students)
Updated
24 October 2016
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 6 November 2014. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-511399862
People experiencing poor mental health (including people with dementia)
Updated
24 October 2016
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 inspection 6 November 2014. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-511399862
People whose circumstances may make them vulnerable
Updated
24 October 2016
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 6 November 2014. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-511399862