Background to this inspection
Updated
26 February 2018
Dr Abubakr Shaikh is an individual GP who provides NHS primary care services through a General Medical Services (GMS) contract from Peel Precinct Surgery to 1741 patients in the Kilburn area of Brent in North West London. The practice is part of NHS Brent Clinical Commissioning Group (CCG).
The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder or injury, maternity and midwifery services, family planning and surgical procedures.
The male GP provides 10 clinical sessions per week and is supported by a long-term locum female GP (one session per week), two practice nurses (13 hours per week), a healthcare assistant (four hours per week), a part-time practice manager (14 hours per week) and four part-time receptionists.
The practice is open between 8am and 6.30pm Monday to Friday and Saturday from 9am to 11am. Appointments are available Monday to Friday from 8.30am to 11am and 4pm to 6.30pm. On-line services, which include appointment booking and repeat prescriptions can be accessed from the practice website www.peelprecinctsurgery.nhs.uk.
The practice serves a multi-ethnic mix of population who have varied socio-cultural and religious needs. The information published by Public Health England rates the level of deprivation within the practice population group as two on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The practice area has a higher percentage than national average of male and female patients aged between 05-09, 10-14, 35-39, 40-44 and 45-49.
Updated
26 February 2018
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Abubakr Shaikh on 31 March 2016. The overall rating for the practice was inadequate and the practice was placed in special measures for a period of six months. In addition, we issued a warning notice to the provider in respect of safe care and treatment and informed them that they must become complaint with the law by 15 July 2016.
A second announced comprehensive inspection was undertaken on 8 December 2016 following the period of special measures. Overall the practice remained rated as inadequate as they had not met the requirements of the warning notice and, as a result, further enforcement action was taken in respect of safe care and treatment and good governance.
In response to the enforcement action taken, the provider sent us an action plan outlining improvements that had been put in place since our previous inspections. We then carried out an unannounced focused follow-up inspection on 4 July 2017 to check that the necessary improvements had been made, or whether further enforcement action was required. At the inspection we found significant improvements had been made to prevent enforcement action although we still found continuing areas of non-compliance in respect of safe care and treatment and good governance.
The full comprehensive reports on the March and December 2016 inspections and the report of the focused follow-up inspection in July 2017 can be found by selecting the ‘all reports’ link for Dr Abubakr Shaikh on our website at www.cqc.org.uk.
This inspection, carried out on 14 December 2017, was an announced comprehensive inspection to review in detail the actions taken by the practice since our December 2016 and July 2017 inspections to improve the quality of care and to confirm that the practice was now meeting legal requirements.
Overall the practice is now rated as good.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires Improvement
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) – Good
Our key findings were as follows:
-
The practice had made further improvements since our inspection in July 2017, specifically in respect of infection prevention and control, health and safety and the management of high risk medicines.
-
There were systems in place to safeguard children and vulnerable adults from abuse and staff we spoke with knew how to identify and report safeguarding concerns.
-
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.
-
Staff had the skills, knowledge and experience to carry out their roles. However, we found that appropriate training had not been provided to support a member of staff in an extended lead role.
-
Staff involved and treated patients with compassion, kindness, dignity and respect.
-
Results of the national GP patient survey, comments cards we received and patients we spoke with showed patients felt they were treated with compassion, dignity and respect and were involved in decisions about their care and treatment.
-
Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
-
Although there were systems and processes in place to support good governance we found that these had failed to ensure safe and appropriate recruitment checks.
-
The practice could not demonstrate stability of management support to ensure the sustainability of the improvements made so far.
The areas where the provider must make improvements are:
The areas where the provider should make improvements are:
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice