Dr Rashpal Dosanj Also known as Quinton Park Medical Centre

Updated 3 November 2016

Dr Rashpal Dosanj is situated within a purpose built medical centre premises situated in the Cheylesmore area of Coventry serving patients within the south Coventry area. The practice is part of Coventry and Rugby Clinical Commissioning Group (CCG). The practice is served by the local bus network and there is accessible parking on site. The practice and facilities are fully accessible to wheelchair users.

The practice provides primary medical services to approximately 3475 patients in the local community. The practice population is mostly white British with a small minority ethnic population.

The clinical staff team consists of the GP registered manager, one regular long-term GP, one locum GP, one advanced nurse practitioner, one practice nurse and two healthcare assistants. There is also an apprentice healthcare assistant.

The clinical team is supported by a practice manager, a secretary and a team of five administrative and reception staff, including two apprentices who commenced in April 2016. The practice is currently preparing to become a training practice to work with trainee GPs. (Trainee GPs are qualified doctors undergoing a period of further training to become GPs.)

The practice building and telephone lines are open from 8am to 1pm and 3pm to 6pm on Mondays, Tuesdays, Wednesdays and Fridays, and from 8am to 1pm only on Thursdays. The practice is not open on Saturdays and Sundays. Appointments are at these times with additional extended hours appointments available two days a week (Mondays and Tuesdays) starting at 7am until 8am.

Whilst the practice is closed at lunchtimes, on Thursday afternoons and between 6pm and 6.30pm on other weekdays, any calls are put through to the West Midlands Ambulance Service Out of Hours (OOH) service who will contact the on call GP at the practice if necessary. Further out of hours services are provided by the NHS 111 non-emergency facility.

Updated 3 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rashpal Dosanj on 4 August 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. However the documentation lacked detail about the subsequent learning and the action taken to improve.

• 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.

• Prescription stationery was not being recorded and tracked in accordance with national guidance.

• 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. 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 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 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 areas of practice where the provider should make improvements:

• The practice should maintain a consistent approach to recording both significant events (including associated learning and actions) and patient safety alerts (including actions taken).

• The practice should maintain an audit trail to safely manage blank prescription stationery.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 November 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was below Clinical Commissioning Group (CCG) and national averages. For example, the percentage of patients with diabetes, whose last measured total cholesterol was under the recommended level, was 69% compared with CCG and national averages of 82% and 81% respectively. The practice was aware and had put plans in place to address this by providing additional advice and guidance to patients. The practice’s exception reporting rate for this indicator was 3% compared with the CCG average of 10% and the national average of 12%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 3 November 2016

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

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of accident and emergency (A&E) attendances. Immunisation rates were in line with Clinical Commissioning Group (CCG) and national averages for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals. We saw evidence to confirm this.

• Performance for cervical indicators was in line with CCG and national averages. For example the percentage of women aged 25-64 receiving a cervical screening test in the last five years was 74% compared with CCG and national averages of 73% and 74% respectively.

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

• The practice provided combined parent and baby clinics carrying out post-natal and early child development checks.

We saw positive examples of engagement and joint working with midwives, health visitors and school nurses.

Updated 3 November 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 had carried out 42 health checks for people aged over 75 in the last 12 months (13% of the practice list).

• The practice directed older people to appropriate support services.

Updated 3 November 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 and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• 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.

• Appointments were offered to accommodate those unable to attend during normal working hours.

Updated 3 November 2016

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

• Performance for mental health related indicators was in line with the Clinical Commissioning Group (CCG) and national averages. For example the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan documented in the last 12 months was 89% compared with CCG and national averages of 90%.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

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

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

Updated 3 November 2016

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

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

• The practice had 15 patients registered as having a learning disability and had completed health checks for 11 of these patients in the last 12 months.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• 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’s computer system alerted GPs if a patient was also a carer.The practice had identified 44 patients as carers (1.3% of the practice list).