30 July 2014
During a routine inspection
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.