Archived: Dr Abdul Qayoom Brohi Also known as Stratford Medical Centre

Updated 19 February 2015

Dr Abdul Qayoom Brohi practice provides a primary care service to patients in Newham. Services are provided by one full time GP and a full time practice nurse. The service is responsible for providing primary care to around 2,300 patients. Appointments were available from 9.00 am to 12.30 pm and then from 4.00 pm to 6.30 pm on Monday, Tuesday, Wednesday and Friday. The practice was open from 9.00 am to 12.30 pm on Thursday and  from 9.30 am to 10.30 am on Saturday.

The London Borough of Newham had higher than average proportions of drug misuse, recorded diabetes, incidents of tuberculosis and acute sexually transmitted diseases.

Newham's Clinical Commissioning Group Patient Prospectus 2013/14 informed us that diabetes is one of the biggest health issues in Newham.

Updated 19 February 2015

Dr Abdul Qayoom Brohi's practice is located in the London Borough of Newham. The practice provides primary medical services to around 2,300 patients. We carried out an announced inspection on 30 July 2014. The inspection took place over one day and was led by a lead inspector, a GP and a practice manager. An expert by experience was also part of the inspection team.

During our inspection we spoke with 10 patients and we received and reviewed 32 comments cards. We spoke with seven members of the clinical and non clinical staff team.

The regulated activities we inspected were diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures and treatment of disease and disorder or injury. Overall we saw the service was responsive to the needs of older people, people with long term conditions, mothers, babies, children and young people, the working age populations and those recently retired, people in vulnerable circumstances and people experiencing poor mental health. People with long term conditions such as Chronic Obstructive Pulmonary Disease (COPD) received regular reviews of their health condition at the practice.

The practice had systems in place to report and record safety incidents, concerns and near misses. However, measures were not in place to investigate, learn from these incidents and prevent them from happening again.

Safeguarding policies and procedures were in place for both children and vulnerable adults. Not all clinical staff had received up to date training on safeguarding children.

The arrangements for the management of medicines were not safe. Some medicines were not stored and disposed of safely, including controlled drugs.

There was not a nominated lead for infection control at the practice. This had impacted on the cleanliness of the premises and clinical areas.

There were formal processes in place for the recruitment of staff. A disclosure and barring service (DBS) check, formally known as a criminal record bureau (CRB) check had been obtained for non-clinical staff who acted as chaperones.

The practice provided a caring service. Patient's told us they felt cared for. Patients’ needs were  assessed and treatment was delivered in line with current legislation and best practice.

The practice was not well-led on a day-to-day basis. It lacked leadership and a clear management structure. The practice did not have effective systems in place to assess and manage risks posed to the health and welfare of patients who used the practice.

Updated 19 February 2015

Overall the service was responsive to people with long-term conditions. People with long term conditions such as diabetes, coronary heart disease (CHD) or osteoporosis were supported with annual, or when required, health checks and medication reviews.

Updated 19 February 2015

Overall the service was responsive to mothers, babies, children and young people. People with young children and babies we spoke with told us the service was quick to respond to appointment requests for young children and babies. Young children and babies were prioritised and given urgent appointments.

Updated 19 February 2015

Overall the service was responsive to the needs of older people. Care was tailored to individual needs and circumstances, including a patient's expectations, values and choices.

Updated 19 February 2015

Overall the service was not responsive to the working-age population and those recently retired. The service offered same day appointments for emergencies but closed from 12.20pm to 4.00pm which some patients said caused inconvenience to them as it restricted access to the practice. Systems were not in place to monitor the appointments system or identify improvements where there was a lack of appointments. The current appointment system did not ensure patients were able to access healthcare when they needed to.

Updated 19 February 2015

Overall the service was responsive to people experiencing poor mental health. The practice had close links with local community mental health teams.

Updated 19 February 2015

Overall the service was responsive to people in vulnerable circumstances. We were told the staff were very helpful and supportive.