Archived: Dr Ehab Amin Also known as Medi Access Ltd

Updated 15 February 2018

Dr Ehab Amin practice is in Weelsby View Health Centre, a purpose built building on Ladysmith Road in Grimsby. The building is shared with a number of other GP practices. Dr Ehab Amin’s practice provides Personal Medical Services (PMS) to approximately 2,500 patients living in the Hainton and Heneage area of North East Grimsby. The practice has one male GP and a practice nurse. They are supported by a practice manager and four reception/administrative staff.

The majority of patients are of white British background and 1.5% of the local population is from eastern Europe. The practice population profile is similar to the England average except the 50+ years age group is lower than the England average and the 0-9 and 15-29 years age groups are higher than the England average. The practice scored one on the deprivation measurement scale, the deprivation scale goes from one to ten, with one being the most deprived. People living in more deprived areas tend to have a greater need for health services.

The practice is open 8am to 6.30pm Monday to Friday. Appointments are available Monday to Friday 9am to 11am. Afternoon appointments are 4pm to 6pm Monday, Tuesday, Wednesday and Friday. Extended hours appointments are offered on Monday 6pm to 7.45pm.

Out of Hours care (from 6.30pm to 8am) is provided through the local out of hours service.

Updated 15 February 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Requires improvement overall. (Previous inspection June 2016 – Good with requires improvement for the Safe domain)

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Requires improvement

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Requires improvement

People with long-term conditions – Requires improvement

Families, children and young people – Requires improvement

Working age people (including those recently retired and students – Requires improvement

People whose circumstances may make them vulnerable – Requires improvement

People experiencing poor mental health (including people with dementia) - Requires improvement

We carried out an announced comprehensive inspection at Dr Ehab Amin on 11 December 2017 as part of our inspection programme.

At this inspection we found:

• We found some safety systems and processes were not in place or had weaknesses.
• The practice did not have a system to record when action was taken following the receipt of national safety alerts.
• The practice did not have an effective system to identify or monitor vulnerable patients.
• We found there was a lack of evidence of records of mandatory training such as safeguarding, basic life support and infection control.
• Some staff were performing duties that they did not have the qualifications, competence, skills or experience which was necessary for the work performed by them.
• The practice reviewed the effectiveness and appropriateness of some of the care it provided.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

The areas where the provider must make improvements are:-

• 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.
• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.
• Ensure staff have the qualifications, competence, skills and experience necessary for the work to be performed by them.
• Ensure arrangements are in place for the safe management of medicines.

The areas where the provider should make improvements are:

• Consider providing an induction pack relevant to their role for temporary and new staff.
• Undertake infection prevention and control audits annually.
• Review arrangements for clinical cover during staff absence.
• Review arrangements for patients making complaints and compliments.
• Review the system to ensure that patients who are vulnerable or subject to safeguarding issues are highlighted to all staff and that the system is robust and monitored.

• Review arrangements for the assessment, support and care of older patients who are frail or may be vulnerable.
• Review the arrangements for the follow up on older patients discharged from hospital to ensure their care plans and prescriptions are updated to reflect any extra or changed needs.
• Consider how to improve care of patients with diabetes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 15 February 2018

Updated 15 February 2018

Updated 15 February 2018

Updated 15 February 2018

Updated 15 February 2018

Updated 15 February 2018