Archived: Dr A Yi Also known as Aung Min Galar Surgery

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr A Yi on 15 January 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, although significant event meetings did not take place on a regular basis.
• Patients were at risk of harm because some systems and processes were not in place to keep them safe. For example appropriate recruitment checks on staff had not been undertaken prior to their employment, and risk assessments were not in place to monitor safety of the premise or use of equipment.
• 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 was available and easy to understand.
• Patients told us they could usually get an appointment when they needed one, with urgent appointments available the same day. Patients could also access urgent appointments via the Cannock Network Project. Appointments with a GP or nurse were available between 3.30pm and 8pm at the Network if appointments were not available at their own practice.
• 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 the 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 also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

• Ensure recruitment arrangements include all necessary legislative employment checks for all staff.
• Ensure that the practice nurse has indemnity insurance in place.
• Introduce systems to monitor the use of prescription pads and blank computer prescription forms.
• Carry out a risk assessment to support the rationale for stocking a limited range of emergency medicines.
• Implement systems for assessing and monitoring risks.

In addition the provider should:

• Introduce regular significant event meetings.
• Provide staff with health and safety training.
• Complete a second cycle on the clinical audits already carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice