Dr Tahir Kiyani - Care Quality Commission

Background to this inspection

Updated 2 June 2017

Dr Tahir Kiyani Practice is located within a health centre, with two other GP practices in a residential area of East London and is a part of Waltham Forest Clinical Commissioning Group (CCG). There are approximately 3200 patients registered with the practice.

The practice has a higher than average percentage of patients aged between 25 to 39 and a higher average of patients in full time work or education at 71% compared with the CCG average of 66% and the national average of 62%.

The practice has one full time male GP carrying out nine sessions per week, two female nurses carrying out three sessions per week and a health care assistant. There is a practice manager, an assistant practice manager and 4 reception/administrative staff members.

The practice operated under a General Medical Services Contract (a contract between NHS England and general practices for delivering general medical services and is the most common form of GP contract).

The practice was open Monday to Friday from 9:00am to 6:30pm; the phone lines were open from 9:00am. Appointment times were as follows:

Monday 9:00am to 12:30pm and 4:00pm to 7:30pm.
Tuesday 9:00am to 12:30pm and 4:00pm to 5:30pm.
Wednesday 9:00am to 12:30pm and 4:00pm to 5:30pm.
Thursday 9:00am to 12:30pm. Doors close at 1:00pm
Friday 9:00am to 12:30pm and 4:00pm to 5:30pm.

The locally agreed out of hours provider covers calls made whilst the practice is closed.

Dr Tahir Kiyani Practice operates regulated activities from one location and is registered with the Care Quality Commission to provide diagnostic and screening procedures, family planning, maternity and midwifery services, treatment of disease disorder or injury and surgical procedures.

Overall inspection

Good

Updated 2 June 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Tahir Kiyani on 10 November 2015. The overall rating for the practice was good. The full comprehensive report published on 20 May 2016 can be found by selecting the ‘all reports’ link for Dr Tahir Kiyani on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 11 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 10 November 2015. There were concerns with how the practice monitored and reviewed patient outcomes, the identification of patient carers, maintenance of a safeguarding register, patient access to a female GP and document maintenance. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

Data from the Quality Outcomes Framework (QOF) showed practice achievement was comparable to the CCG and national averages as was the practices exception reporting rates.
The practice had completed seven clinical audits in the past 18 months two of which were completed audit cycles where quality improvement was demonstrated.

Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
The practice had identified 1% of their patient list as a carer and met with a local carers organisation that provided training to practice staff.
There was a record of immunisation status for all clinical staff members.
Practice policies and protocols were accessible to all staff members on the computer system and there was a process for ensuring these were updated at least annually and they were all version controlled.
The practice maintained a child and vulnerable adults safeguarding register and all staff members were trained in how to access and use it.
The practice had considered how patients could access a female GP, female locum GPs were regularly booked, the practice was actively trying to recruit to a female GP post and patients had same day access at the local HUB which provided appointments when the practice was closed.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice