- GP practice
Archived: Dr Sickan Subramaniam Also known as Mungo Park Surgery - South Hornchurch Health Centre
All Inspections
22 May 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Sickan Subramaniam on 29 April 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Dr Sickan Subramaniam on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 22 May 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 29 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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Overall the practice is now rated as good.
Our key findings on 22 May 2017 were as follows:
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The practice had revised their recruitment procedures to include the requirement of pre-employment checks.
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Pre-employment checks had been received for all members of staff.
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The practice had improved their QOF performance.
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The practice had reviewed actions to improve care for patients experiencing poor mental health, and those with long term conditions, including the provision of care plans for all on the registers.
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The practice had secured the service of a long term female locum GP in order to provide a service for patients that preferred to see a female GP.
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The practice had provided evidence of completed two cycle audits that showed improvements had been made.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
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Continue to review how it identifies patients with caring responsibilities to ensure information, advice and support is available to all.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
29 April 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Sickan Subramaniam on 29 April 2016. Overall the practice is rated as requires improvement.
- 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.
- 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 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.
The areas where the provider must make improvement are:
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To ensure the procedure for staff recruitment includes: undertaking all relevant pre-employment checks to verify that staff are of good character and have the qualifications, competence, skills and experience which are necessary for them to discharge their role.
The area where the provider should make improvement is:
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To review how it identifies patients with caring responsibilities to ensure information advice and support is available to all.
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To use a programme of quality improvement activities including completed two-cycle audits to show that improvements have been identified and achieved. .
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Implement, monitor and review actions identified to improve care for patients experiencing poor mental health, and those with long-term conditions.
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To consider how to address patient preference for a female GP.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice