The Care Quality Commission
  • Doctor
  • GP practice

Church Street Surgery

Overall: Good read more about inspection ratings

57 Church Street, Hunslet, Leeds, West Yorkshire, LS10 2PE (0113) 271 1884

Provided and run by:
Church Street Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Church Street Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Church Street Surgery, you can give feedback on this service.

22 November 2019

During an annual regulatory review

We reviewed the information available to us about Church Street Surgery on 22 November 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

14/08/2018

During a routine inspection

This practice is rated as Good overall.

Dr Shahzad Hussain has been registered as an individual with the Care Quality Commission since December 2016. (An inspection was undertaken in June 2017 when the practice was rated as good overall.) However, since February 2018 the registration was amended to become a partnership between Dr Shahzad Hussain and Dr Nazima Hussain.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

As part of our inspection programme, we carried out an announced comprehensive inspection at Church Street Surgery on 14 August 2018.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
  • The practice could evidence safe and effective prescribing in line with local and national guidance.
  • There were comprehensive systems in place to support safe and effective management of the practice.
  • We saw that an emergency telephone protocol had been developed, which included symptoms to be aware of relating to sepsis and how concerns should be responded to. The protocol had been shared with other practices locally.
  • There was a focus on continuous learning and improvement. The practice had developed a diabetic foot screening protocol which had been presented locally with a view to being adopted by other practices.
  • The practice regularly reviewed demand and capacity regarding the appointment system. Patients reported that they were able to access care when they needed it and were positive about the practice.
  • The practice engaged with other local providers of health and social care to respond to patients’ needs. For example, the development of a ‘dressings hub’ to support patients who required urgent dressings post discharge.

The area where the provider should make an improvement is:

  • Put measures in place to ensure the plug for the vaccine refrigerator could not be accidently removed or turned off.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence table for further information.