Archived: Dr Mohammed Islam - Artane

Updated 18 February 2016

Dr Mohammed Islam - Artane is located close to Manchester city centre. There were 2200 patients on the practice list at the time of our inspection and the majority of patients were of white British background. The practice is in a highly deprived area of Manchester.

The practice is a small building set back from a main road, situated all on ground the floor with one consulting and treatment room, with a waiting area and reception area. There were a further two consulting rooms one for clinical work and one for clerical work. There was also access to a toilet for patients. There is a car park outside the building with one disabled parking available.

The clinical staff are made up of three GPs one full time and two part time (two female and one male). There is one practice nurse who works one day a week and one healthcare assistant working part time. Members of clinical staff are supported by a practice manager and two receptionists.

The practice is opens as follows :

• Monday 8am– 6.30pm
• Tuesday 8am –8pm
• Wednesday 8am –6.30pm
• Thursday 8am- 6.30pm
• Friday 8am– 6.30pm.

Patients requiring a GP outside of normal working hours are advised to call “ Go-to- Doc” using the usual surgery number and the call will be re-directed to the out-of-hours service. The surgery works with neighbouring practices, offering Saturday and Sunday appointments between the hours of 10am and 6pm and weekdays extended opening from 6.30pm to 8pm .

The practice has a Primary Medical Services (PMS) contract and also offers enhanced services for example avoiding unplanned admissions/care plans, supporting patients with dementia and minor surgery.

Updated 18 February 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Mohammed Islam– Artane Medical Centre on 5 January 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Although information about safety was recorded and discussed in meetings, the practice meetings did not have a clear process for acting on and reviewing significant event audits (SEAs) and near misses.
• There was no policy or risk assessment in place, with no emergency medicines available onsite, with the exception of an anaphylaxis kit and oxygen.
• Risks to patients were not fully assessed and well managed, for example there was no use of Patient Specific Directions (PSD) to enable the healthcare assistant to administer vaccinations safely to patients.
• Patient confidentiality was not always assessed and managed.
• The practice did not hold any records to show whether staff were immunised against infectious diseases for example Hepatitis B.
• There was an inconsistent approach regarding infection control, medicines management and health and safety, with mixed responses from staff to who was responsible in the management of these areas.
• Patients were positive about their interactions with staff and said they were treated with compassion and dignity.
• Urgent appointments were available on the day, with children and vulnerable adults usually being seen within the hour.

The areas where the provider must make improvements are:

• Ensure emergency medicines are available and monitored in the practice.
• Ensure Patient Group Directions (PGD) and Patient Specific Directions (PSD) are implemented with support from the GP, where the nurse and healthcare assistants are administering vaccines.
• Ensure processes for reporting, recording, acting on and monitoring of medicine management and infection control are in place.
• Review and update all procedures and guidance to be a true reflection of the practice.
• Ensure all clinical staff have their Hepatitis B status recorded
• Ensure a safe practice environment is maintained, including assessment of all risks.

In addition the provider should:

• Provide staff with training of the Safeguarding procedures.
• Provide training for staff undertaking chaperone duties.
• Provide a secure system for the monitoring of prescription pads
• Staff to know how to access translation services.
• Improve disabled access. We noted that the step outside did not have a ramp or bell to accommodate wheel chair users.

Where a practice is rated as inadequate for one of the five key questions or one of the six population groups the practice will be re-inspected within six months after the report is published. If, after re-inspection, the practice has failed to make sufficient improvement, and is still rated as inadequate for any key question or population group, we will place the practice into special measures. Being placed into special measures represents a decision by CQC that a practice has to improve within six months to avoid CQC taking steps to cancel the provider’s registration.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 18 February 2016

The practice is rated as requires improvement for the care of people with long-term conditions.

• The healthcare assistant had a lead role in chronic disease management with the GP.
• The healthcare assistant supported patients in the education of long term conditions.
• We saw examples of joint working with health visitors and other multi-disciplinary services
• Longer appointments and home visits were available when needed.

Updated 18 February 2016

The practice is rated as requires improvement for the care of families, children and young people.

• There were systems in place to identify and follow up children who were at risk.
• Immunisation rates for the standard childhood immunisations were mixed. Children aged five year olds ranged from 60% to 70%
• Appointments were available outside of school hours, with children being seen within one hour as an emergency.
• We saw good examples of joint working with midwives and health visitors.
• There was a range of clinics available such as mother and baby clinic and childhood immunisation clinic.

Updated 18 February 2016

The practice is rated as requires improvement for the care of older people.

• The practice offered care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• There were arrangements in place to provide flu and pneumococcal immunisation to this group of patients.

Updated 18 February 2016

The practice is rated as requires improvement for the care of working age people (including those recently retired and students)

• We saw the practice using a population tool to identify patients who may be at risk of developing diabetes. The practice offered education and support to patients to reduce the risk of developing diabetes.
• The practice was proactive in offering online services as well as a full range of health promotion and screening which reflected the needs for this age group
• Routine health checks were also available for patients between 40 and 74 years old.
• Telephone consultations were available.

Updated 18 February 2016

The practice is rated as requires improvement for the care of people experiencing poor mental health (including people with dementia).

• 96.8% of people experiencing poor mental health had received an annual physical health check.
• The percentage of patients with physical and/or mental health conditions whose notes record smoking status in the preceding 12months was 92.8%.

Updated 18 February 2016

The practice is rated as requires improvement for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• It had carried out annual health checks for people with a learning disability.
• Staff knew how to recognise signs of abuse in vulnerable adults and children.
• Most staff were aware of their responsibilities regarding information sharing and recording safeguarding concerns.