We carried out an announced comprehensive inspection at Dr Joseph Arayomi on 15 January 2019 as part of our inspection programme.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We rated the practice as requires improvement for providing safe services because:
- Recruitment processes were not consistent and did not always follow national guidance.
- Although there was a procedure for the security of prescription paper this was not always followed.
- The practice had significant events as a standing item on meeting agendas however minutes did not demonstrate that discussion and learning had occurred.
We rated the practice as good for providing effective, caring, responsive and well-led services because:
- The practice was aware of its performance and had identified where improvement was required. The practice had plans in place to effect these changes.
- There was evidence of improvements to the level of care and treatment experienced by patients. The practice was aware further progress was needed to sustain this.
- Feedback from patients about the care provided and the attitude of staff was positive.
- Patients found it easy to make appointment.
- The practice were aware of their patient population and worked to ensured that services provided reflected their needs.
- Leaders were visible and staff felt supported by them.
- There was evidence of good teamwork and a culture that made staff feel able to raise concerns and suggestions for improvement. Staff had confidence that these would be considered.
The areas where the provider must make improvements are:
- Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
- Review the business continuity plan, where copies are stored and make sure all staff are aware of it.
- Review the implementation of procedures around prescription paper security and ensure that all policies are personalised to the practice.
- Review the audit trail demonstrating learning and dissemination of complaints and significant events.
- Review processes for engaging patients and carers to improve uptake of childhood immunisations and screening rates for all types of cancer screening.
- Continue to improve outcomes for patients with Chronic Obstructure Airways Disease (COPD) and overall patient experience whilst in consultations.
- Ensure that staff are aware of and involved in the practice’s vision and strategy.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice