We carried out a review of the data available to us about Dr GC Chajed's Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Dr GC Chajed's Practice, you can give feedback on this service.
We carried out an announced comprehensive inspection at Dr GC Chajed’s Practice on 7 February 2017. This inspection was a follow up to our previous comprehensive inspection at the practice on 3 June 2015 where breaches of regulation had been identified. The overall rating of the practice following the 3 June 2015 inspection was requires improvement. It was rated as inadequate for providing safe services, and requires improvement for providing effective, caring, responsive and well led services.
At our inspection on 7 February 2017 we found that the practice had improved. The ratings for the practice have been updated to reflect our recent findings. The practice is rated as good for providing safe, effective, caring, responsive and well led services.
Our key findings across all the areas we inspected were as follows:
The areas where the provider should make improvements are:
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr GC Chajed’s practice on 3 June 2015. Overall the practice is rated as requires improvement.
Specifically, we found the practice inadequate for providing safe, requiring improvement for effective, responsive services, and being well led. It was good for providing caring services.
Our key findings across all the areas we inspected were as follows:
Staff did not always assess, monitor or manage risks to people who use the services.
The policies or procedures for chaperone or repeat prescribing were not robust
Medicines and Healthcare products Regulatory Agency (MHRA) alerts were not been fully adhered to; patients had not had blood tests done within a stated time scale where identified by safety alerts.
Although staff understood their responsibilities to raise concerns, and report incidents and near misses, safety was not sufficiently prioritised and there were inadequate systems in place to monitor and manage risks. There was no evidence of shared learning with staff.
Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
Not all staff had received specialist training appropriate to their roles.
There was insufficient assurance to demonstrate people received effective care and treatment. For example, assessment of care needs and review of repeat medicines.
Information was provided to help patients understand the care available to them.
Same day appointments were usually available on the day they were requested.
The practice had limited formal governance arrangements.
The areas where the provider must make improvements are:
Take action to address identified concerns with safe handling of medicines and monitor prescribing practice.
Ensure replacement of essential emergency equipment (AED), and have a process to ensure the emergency drugs are checked and kept within the expiry date.
Ensure a legionella risk assessment is completed for the building.
Put systems in place to ensure all staff receive appropriate training, professional development, and regular supervision.
Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks and the quality of the service provision.
Ensure staff have appropriate policies and guidance to carry out their roles in a safe and effective manner which are reflective of the requirements of the practice.
Formulate a clear vision for the practice and a strategy to deliver it. Ensure all staff know their responsibilities in relation to it.
Ensure there is leadership capacity to deliver all improvements
The areas where the provider should make improvement are:
Improve processes for making appointments.
Ensure that significant events and complaints are a standing item on the practice meeting agenda.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice