Archived: Dr Khalda Qureshi Also known as Maidstone Road Surgery

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Khalda Qureshi on the 4 November 2014.During the inspection we gathered information from a variety of sources. For example, we spoke with patients, interviewed staff of all levels and checked that the right systems and processes were in place.

Overall the practice is rated as good. This is because we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for all patient population groups.

Our key findings were as follows:

• Patients’ said they felt safely cared for and had no concerns about their care or treatment.
• Staff were helpful, caring and considerate to patients’ needs.
• Patients felt listened to and their opinions about care and treatment were acted upon.
• The environment was safe and always cleaned to a high standard.

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
• The practice used innovative and proactive methods to improve patient outcomes, working with other local providers to share best practice. Following taking part in the Medway clinical commissioning group (CCG) pilot for care planning, the practice was in a unique position to be one of the first in the CCG area to establish care plans for patients with a long term conditions, such as dementia and cardiac conditions. Records demonstrated that care plans had been agreed between the patients and their families / carers. The practice maintained a register of all patients who had a care plan. The register included details of ongoing care and treatment as well as changes made to the plan as a result of the patient’s condition or medication having been amended.
• Patients said they were treated with dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.

• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Information about how to complain was available and easy to understand.

• The practice had a clear vision which had quality and safety as its top priority.
• A business plan was in place, was monitored and regularly reviewed and discussed with all staff.

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

• Take action to ensure they are fully equipped to deal with medical emergencies.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice