Dr Vipul Masharani

Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection at Dr Vipul Masharani on 22 November 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Various audits had been implemented to ensure the practice met all aspects of the the Health and Social Care Act 2008: Code of Practice on the Prevention and Control of Infections.

• Relevant fire safety training had been undertaken as well as a fire risk assessment.

• Appropriate recruitment checks were carried out before staff were employed.

• Policies and protocols had been reviewed to ensure adequate systems and processes were in place to assess, monitor and mitigate against risk.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Vipul Masharani (The Masharani Practice) on 16 March 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

• There was a system in place for reporting and recording significant events and lessons were shared to make sure action was taken to improve safety in the practice. However we found some inconsistencies in the reporting process.

• 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.

• Feedback from patients about their care was consistently positive and they said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• The practice did not have a robust system in place to manage and monitor risks to patients, staff and visitors to the practice.

• 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 an open surgery and minor illness clinic available on a daily basis.
• 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 practice had a number of policies and procedures in place to govern activity.

The areas where the provider must make improvements are:

• Ensure there is an effective governance system in place to identify and mitigate risks to patients and staff including those relating to fire safety.

• Ensure recruitment arrangements include all necessary employment checks for all staff.
• Ensure all staff are up to date with mandatory training.
• Take action to address identified concerns with the infection prevention and control practice.

In addition the provider should:

• Ensure consistency in the recording of significant events.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice