Background to this inspection
Updated
14 March 2022
Dr Abdul-Kader Vania is the registered location and provider name with the Care Quality Commission (CQC) for the Ar Razi Medical Centre in Leicester at:
1 Evington Lane
Leicester
Leicestershire
LE5 5PQ
Services are provided from one main site and the practice does not have any branch surgeries.
The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services, treatment of disease, disorder or injury, family planning, and surgical procedures.
The practice is situated within the Leicester City Clinical Commissioning Group (CCG)’s area of responsibility to organise the delivery of NHS services to the local population. The practice delivers General Medical Services (GMS) to a patient population of just over 3,000.
The practice is part of a wider network of GP practices in their Primary Care Network.
Information published by Public Health England report deprivation within the practice population group as five on a scale of 1 to 10. Level one represents the highest levels of deprivation and level 10 the lowest.
The practice caters for a much higher proportion of patients under the age of 20 in comparison to local and national averages, and a much lower proportion of patients experiencing a long-standing health care condition, and patients aged 65 and over.
The National General Practice Profile states that 62.3% of patients are Asian, 25.6% white, 5.4% black and 6.7% mixed race or other ethnicity.
There is a single-handed male GP at the practice, who was supported by four locum GPs at the time of our inspection. They individually work one or two sessions on site per week. The practice did not have a substantive practice nurse in post but use a regular locum practice nurse who provides input for three sessions over a two-week period. A part-time health care assistant also works at the practice. The GPs are supported at the practice by a team of two reception staff, the practice manager and a reception manager.
The practice opens from 8am to 6.30pm Monday to Friday with extended access appointments with a GP from 7.30am to 8am Monday to Wednesday.
Additional access is provided by local hub sites through a CCG commissioned service. These are available each weekday from 8am to 10pm and 8am to 8pm at weekends and bank holidays. Out of hours services are provided by Derbyshire Health United.
Updated
14 March 2022
We carried out an unannounced inspection at Dr Abdul-Kader Vania on 8 February 2022. Overall, the practice remains rated as inadequate.
Safe - inadequate
Effective - inadequate
Caring – requires improvement
Responsive – inadequate
Well-led - inadequate
The practice was inspected by the Care Quality Commission (CQC) in January 2020 and was rated overall as requires improvement, with an inadequate rating for providing effective services. This led to a further inspection being undertaken in April 2021 to see if improvements had been made.
This practice was rated as inadequate at the inspection in April 2021, and was placed in special measures. Following the inspection, the practice was issued with four warning notices in relation to breaches of regulation 12 (safe care and treatment); regulation 13 (safeguarding service users from abuse and improper treatment); regulation 17 (good governance); and regulation 18 (staffing). A requirement notice was also issued in relation to regulation 12.
An inspection was undertaken in July 2021 to review compliance with the warning notices that were issued and had to be met by the end of June 2021. We found that the practice was mostly compliant with the warning notices, but further work was required in some areas, therefore further requirement notices were issued. The inspection was not rated and therefore the ratings remained unchanged.
This inspection on 8 February 2022 took place to review the practice’s special measures status, and also in response to a number of whistle-blowing allegations received by the CQC. Following our inspection, the practice is still rated as inadequate.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Abdul-Kader Vania on our website at www.cqc.org.uk
Why we carried out this inspection/review
This inspection was a comprehensive inspection to follow up on:
- Areas of concerns which led to the practice being placed into special measures.
- Breaches of regulations and ‘shoulds’ identified in previous inspection.
- To seek assurances with regards to concerns reported to the CQC by a series of whistle-blowers
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend less time on site. This was in line with all data protection and information governance requirements.
This included:
- Conducting GP and practice staff interviews using video conferencing
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider
- Reviewing patient records remotely to identify issues and clarify actions taken by the provider
- Requesting evidence from the provider to be submitted electronically
- The inspection incorporated both the GP practice and the private circumcision clinic held as these were registered with the CQC as one registration.
Our findings
This inspection looked at the following key questions;
- Safe
- Effective
- Caring
- Responsive
- Well-led
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as inadequate overall, with inadequate ratings for the four key questions of safe, effective, responsive and well-led. Caring is rated as requires improvement.
We found two breaches of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
This service was placed in special measures in June 2021 (following our inspection in April 2021). Insufficient improvements have been made such that there remains a rating of inadequate for Dr Abdul-Kader Vania. Therefore, we are taking action in line with our enforcement procedures.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care