What is the Quality of Safety at Dr Roman Sumira

Positive

"The practice did not have an effective system for ensuring that Medicines & Healthcare products Regulatory Agency MHRA and patient safety alerts were received and actioned appropriately."

Positive

"These improvements included monitoring of fire safety infection control management of control of substances hazardous to health."

Positive

"For example patient safety alerts safeguarding medicine reviews monitoring of patients on high risk medicines monitoring of the cold chain NICE guidance staff training and meeting minutes."

Positive

"For example patient safety alerts safeguarding medicine reviews monitoring of patients on high risk medicines monitoring of the cold chain."

Positive

"• The practice had a clear vision which concerned quality of patient care and safety as its priority."

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"All electrical equipment was checked regularly to ensure its safety and clinical equipment was checked and calibrated to ensure it was fit for purpose."

Positive

"There was a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella."

Positive

"Information about safety was recorded monitored reviewed and addressed where possible."

Positive

"We reviewed safety records incident reports and minutes of meetings where these had been discussed."

Positive

"There was a health and safety policy and staff knew where it was located."

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."

Positive

"The feedback from comments cards we reviewed said patients felt they were treated with care compassion dignity and respect."

Positive

"The practice was unable to demonstrate strong leadership in respect of safety."

Positive

"The eight patients we spoke with said they felt the practice offered a good or excellent service and that staff were helpful caring and treated them with dignity and respect."

Positive

"• All patients spoken with said they were treated with compassion dignity and respect and they were involved in their care and decisions about their treatment."

Positive

"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy were respected."

Positive

"Patients said they were treated with compassion dignity and respect."

Positive

"We also saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

"Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations and procedures."

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"However the CQC advised Dr Roman Sumira that further enforcement actions would be served as a breach of legal requirements was still found in relation to safeguarding service users from improper treatment and abuse and governance arrangements within the practice."

Positive

"• The leadership governance and culture of the practice did not always promote the delivery of high quality personcentred care."

Positive

"Reports from our previous inspections can be found by selecting the ‘all reports’ link for Dr Roman Sumira on our website at We found that: • At this inspection we still had concerns about the clinical oversight and governance arrangements in place."

Positive

"• There was a limited governance framework which supported the delivery of the strategy and good quality care."

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"• The practice had no clear leadership structure insufficient leadership capacity and limited formal governance arrangements."

Neutral

"• Staff received training that included: safeguarding fire procedures basic life support and information governance awareness."

Positive

"This report describes our judgement of the quality of care at this service."

Positive

"Our review indicated that there may have been a significant change to the quality of care provided since the last inspection."

Positive

"This report describes our judgement of the quality of care at this service."

Positive

"This report describes our judgement of the quality of care at this service."

Positive

"However the CQC advised Dr Roman Sumira that further enforcement actions would be served as a breach of legal requirements was still found in relation to safeguarding service users from improper treatment and abuse and governance arrangements within the practice."

Positive

"The areas where the provider must make improvements are: • Ensure patients are protected from abuse and improper treatment."

Positive

"How the regulation was not being met The provider did not have an effective system for safeguarding adults and children from abuse and improper treatment."

Positive

"• On the day of the inspection we could not establish if the practice had an effective system in place to safeguard service users from abuse and improper treatment."

Positive

"• The practice did not have an effective system in place to safeguard service users from abuse and improper treatment."

Positive

"• Ensure patients are protected from abuse and improper treatment."

Positive

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

Positive

"These improvements included monitoring of fire safety infection control management of control of substances hazardous to health."

Positive

"There was a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella."

Neutral

"The practice nurse was the infection control clinical lead."

Neutral

"There was an infection control protocol in place and staff had received training."

Neutral

"For example they had requested to attend a more in depth infection control training course."

Positive

"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy were respected."

Positive

"Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations and procedures."

Positive

"For example a complaint concerned the delay in a diagnosis."

Positive

"Clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved to improve care and treatment and people’s outcomes."