• Doctor
  • GP practice

Archived: Dr Haider Al-Hasani Also known as Lynwood Surgery

Overall: Inadequate read more about inspection ratings

9 Lynwood Road, London, W5 1JQ (020) 8997 7522

Provided and run by:
Dr Haider Al-Hasani

All Inspections

4 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Haider Al-Hasani on 4 August 2016.

Overall the practice is rated as inadequate.

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

  • The system of reporting incidents was not always consistently followed and there was no evidence of learning from incidents and communication with staff.

  • The practice did not have adequate systems in place for medicines and infection control management.

  • Patient outcomes were hard to identify as little or no reference was made to audits or quality improvement and there was no evidence that the practice was comparing its performance to others; either locally or nationally.

  • Not all staff demonstrated the necessary competencies in relation to safeguarding of vulnerable adults and children.

  • Not all clinical staff were aware of the requirements of the Mental Capacity Act 2005, and their duties in fulfilling it.

  • There was insufficient assurance to demonstrate people received effective care and treatment. For example there was no multi- disciplinary working taking place to improve patient care.

  • Patients were positive about their interactions with staff and said they were treated with compassion and dignity.

  • Patients we spoke with on the day of the inspection said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.

  • The practice had insufficient leadership capacity and limited formal governance arrangements. As a result they had failed to identify and manage significant issues that threatened the delivery of safe and effective care.

The areas where the provider must make improvements are:

  • Introduce effective processes for reporting, recording, acting on and monitoring significant events, incidents and near misses.

  • Take action to address identified concerns with infection prevention and control practice.

  • Ensure that the health care assistant only works to Patient Specific Directives to deliver care safely and that they are always supervised.

  • Put systems in place to ensure all clinicians are kept up to date with national guidance and guidelines.

  • Ensure that patients on high risk medicines are reviewed as required.

  • Ensure that the process of issuing repeat prescriptions is only undertaken by qualified staff

  • Ensure there is a programme of quality improvement to include completed clinical audits to drive improved outcomes for patients.

  • Implement formal governance arrangements including systems for assessing and monitoring risks and the quality of the service provision.

  • Provide staff with appropriate policies and guidance to carry out their roles in a safe and effective manner which are reflective of the requirements of the practice.

  • Ensure that the practice business continuity plan is tailored and suitable to the practice.

  • Ensure there is leadership capacity to deliver all improvements.

  • Ensure they have effective arrangements in place to safeguard children and vulnerable adults.

  • Ensure that all clinical staff are aware of the Mental Capacity Act and their duties in fulfilling it.

  • Ensure they develop a system that obtains patients views on improving the service.

The areas where the provider should make improvements are:

  • Ensure that the vaccines fridges are monitored by adequately using efficient thermometers.

  • Ensure there is adequate nursing staff to adequately deliver care.

  • Improve the process of identifying carers to ensure they receive support and information as appropriate.

  • Ensure they develop and maintain a Patient Participation Group so as to actively involve patients in developing and improving the service.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.Special measures will give people who use the service the reassurance that the care they get should improve.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice