West Bromwich surgery told to improve
A surgery providing care for more than 5,000 people that failed to update its risk assessments has been told to improve following an inspection.
The surgery of Dr NK Agrawal and Partner in West Bromwich was rated as 'requiring improvement' after a Care Quality Commission review on January 26.
It found the centre lacked a defibrillator on-site and failed to update its fire risk assessments. Staff performance reviews had also not been carried out for two years and 'medicine directives' were not up to date.
Two areas in total were rated as inadequate, with safety and leadership told to improve. However care, effectiveness and responsiveness were rated as 'good'.
The surgery, along Clifton Lane, cares for around 5,500 patients.
The report said 'most risks to patients were assessed and well managed'.
But inspectors found 'the practice did not have a defibrillator so that it could adequately respond to a medical emergency' – and 'no risk assessment was in place to determine if one was needed'.
Other risk assessments such as for fire 'were not regularly reviewed'.
The surgery failed to meet three regulations covering care, governance and employment.
Following the surgery's failure to meet the governance regulation, inspectors said: "Systems or processes must be established, followed and reviewed effectively to ensure appropriate risk assessments to mitigate the risks relating to the health, safety and welfare of service users and others."
This was after failing 'Regulation 17 HSCA (RA) Regulations 2014 Good governance.
The surgery did not wish to comment.
