Dr Patel & Dr Tailor

Updated 3 May 2016

Dr Lewis & Dr Patel is a small two partner practice situated in Whitwick near Coalville. The practice is in the centre of the residential estate that it serves. There is a car park which has disabled car parking spaces and when the practice is busy on street parking is accessible around the building.

• The practice has two partners (male) and a salaried GP (female). The practice employs a practice manager, two practice nurses along with three administration staff.

• The practice is open between 8.30am and 6pm Monday to Friday. With appointments available in these times.

  • Out of hours care can be accessed by calling the surgery telephone number or by calling the NHS111 service.

• The practice list size is approximately 4000.

• The practice lies within the NHS West Leicestershire Clinical Commissioning Group (CCG). A CCG is an organisation that brings together local GPs and experienced health professionals to take on commissioning responsibilities for local health services.

• The building is shared with another GP practice, school nurses and health visitors.

The practice is registered to provide; diagnostic and screening procedures, surgical procedures, family planning, maternity and midwifery services and the treatment of disease, disorder or injury at Whitwick Health Centre, 67 North Street, Whitwick, Coalville, Leicestershire, LE67 5HX.

Dr Lewis & Dr Patel has not been inspected previously by the Care Quality Commission.

Updated 3 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr AM Lewis & Dr R M Patel on 19 November 2015. 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 the skills, knowledge and experience to deliver effective care and treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that 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 had a patient participation group in place.
• Not all staff had completed Mental Capacity Act (MCA) training and not all staff were able to demonstrate an understanding of the act and could relate it to their roles.

The areas where the provider should make improvement are:

• Review staff awareness of the requirements of the Mental Capacity Act (MCA) 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.
• Review the process with regard to monitoring prescriptions that had not been collected to identify any patient issues.
• Review the agenda of practice meetings to ensure that it incudes all relevant areas related to maintaining records of how the practice assess, monitor and improve the quality of service. Meetings should be minuted in order to record summaries of topics discussed and actions to be taken.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 May 2016

The practice is rated as good for the care of people with long-term conditions.

• Community specialist nursing service provided support and education for patients.

• Diabetic indicators for the practice were

• Longer appointments and home visits were available when needed.

• Patients were actively targeted for flu immunisations.

• Referrals were made to local services, for example, DESMOND for diabetic patients newly diagnosed.

Updated 3 May 2016

The practice is rated as good for the care of families, children and young people.

• 81% of patients diagnosed with asthma, on the register, had an asthma review in the last 12 months compared with the CCG average of 78% and the national average of 75%.

• The practice’s uptake for the cervical screening programme was 84%, which was comparable to the CCG average of 83% and the national average of 82%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• The practice offered opportunistic pre-conception counselling including rubella status, alcohol/smoking cessation advice and folic acid prescriptions.

Updated 3 May 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The practice worked alongside care home staff for support and advice.

• All patients over the age of 75 had a named GP.
• Patients that were admitted to hospital were assessed to look at ways to prevent future deterioration or admission.

Updated 3 May 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified.

• Appointments could be booked online, by telephone or face to face at the practice.

• 50% of the appointments were book on the day with the other appointments available to book up to four weeks in advance.

• The practice offered telephone consultations.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 3 May 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice held a register of patients with serious mental health illness. All these patients had a care plan in place and were offered an annual physical health check.

• 80% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which is below the CCG average of 86% and below the national average of 84%.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had an assigned mental health facilitator that they could refer patients to.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 3 May 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of vulnerable patients who refused support from other services and offered extra support to these patients.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.

• The practice had annual health checks in place for patients with a learning disability.