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Dr Isam Saleh Good Also known as Wenlock Surgery


Inspection carried out on 7 December 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Isam Saleh on 7 December 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • The national GP patient survey asked patients if they felt they were treated with compassion, dignity and respect. The practice was below average for its satisfaction scores on consultations with GPs and nurses. However, the information we received on the CQC comments cards did not reflect the national GP patient survey results. There were 88 comment cards completed and they all had positive remarks about the practice.
  • The practice had an effective system in place for handling complaints and concerns. Information about services and how to complain was available and easy to understand. For example, there were posters and leaflets in the patient waiting area and information on the practice website. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients 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 good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • A practice charter was displayed in the waiting area and on the practice website.
  • The practice had a patient participation group (PPG) but they had not secured regular attendance from its members. There were posters in the patient waiting area and information on the practice website advertising for new members to the PPG.
  • The practice had been recognised by Live Well Luton as the top performing practice in Luton for providing in house smoking cessation advice in 2016.

The areas where the provider should make improvement are:

  • Implement a system to monitor the use of blank prescription forms and pads in the practice.
  • Encourage patients to attend the national screening programmes for bowel and breast cancer screening.
  • Continue to monitor and ensure improvements to national patient survey results particularly in relation to, treating patients with compassion, dignity and respect and involving patients in planning and making decisions about their care and treatment.
  • Consider identifying a member of staff as a carers lead to continue to identify and support carers.
  • Continue to establish the patient participation group (PPG).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

CQC Insight

These reports bring together existing national data from a range of indicators that allow us to identify and monitor changes in the quality of care outside of our inspections. The data within the reports do not constitute a judgement on performance, but inform our inspection teams. Our judgements on quality and safety continue to come only after inspection and we will not make judgements on data alone. The evidence tables published alongside our inspection reports from April 2018 onwards replace the information contained in these files.