The Care Quality Commission
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  • GP practice

Archived: Dr Rajesh Kapur Also known as Narborough Health Centre

Overall: Good read more about inspection ratings

Narborough Health Centre, Thornton Drive, Narborough, Leicester, Leicestershire, LE19 2GX (0116) 286 2386

Provided and run by:
Dr Rajesh Kapur

All Inspections

24 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rajesh Kapur on 24 November 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.

  • Patient survey figures showed patients rated the practice lower than others for some aspects of care. The practice had made changes in relation to staffing to alleviate some of the patient concerns.

  • Comments about the practice and staff were positive.

  • 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.
  • 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.

  • Safety alerts and alerts from Medicines and Healthcare products Regulatory Agency (MHRA) were reviewed and cascaded to the appropriate persons.

  • There was a clear leadership structure and staff felt supported by management. The practice had a number of policies and procedures to govern activity and held regular meetings.

  • The practice proactively sought feedback from staff and patients, which it acted on. The patient participation group had not met since February 2016.

  • The practice had identified 25 patients as carers (1% of the practice list).

The areas where the provider should make improvement are:

  • Review process and methods for identification of carers and the system for recording this. To enable support and advice to be offered to those that require it.
  • Complete any actions from Legionella and Fire risk assessment as required.
  • Encourage PPG to become more active and re-introduce regular meetings.
  • Enrol infection control lead on formal training for this role.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

9 January 2014

During a routine inspection

We spoke with six patients and five staff during our inspection. Patients' needs were assessed and care and treatment was planned and delivered in line with their individual wishes. Patients told us they had continuity of the same doctors and nurses and received consistency of care. One patient said, "Both the doctors I see regularly are very professional, very confident, polite and efficient. They care about me as a person." We found staff had received training on how to keep patients safe. Staff at the practice worked collaboratively with other safeguarding services and teams to ensure patients were protected from harm. Staff records showed they received different opportunities and designated time to complete training. Staff told us once a month they had an afternoon of protected learning time. This provided staff with an opportunity to have designated time to improve their skills and qualifications. All the patients we spoke with confirmed the treatment rooms were clean hygienic and tidy. The practice had systems in place which would enable them to monitor the quality of the service. Records showed that complaints were addressed appropriately. One member of the patient participation group said, "I have admiration for the staff team at this practice."