Dr Anjum Seema Iqbal Also known as Ightenhill Medical centre

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Dr Anjum Seema Iqbal, also known as Ightenhill Medical Centre for one area within the key question safe.

We found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was inspected on 5 April 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated ‘good’ overall. However, within the key question safe, one area was identified as requires improvement, as the practice was not meeting the legislation at that time; Regulation 19 Fit and proper persons employed.

At the inspection in April 2016 we found that; although the practice had a recruitment policy in place. This had not been followed for the recruitment of a staff member who had been previously employed by the practice.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Anjum Seema Iqbal, also known as Ightenhill Medical Centre on 5 April 2016. Overall the practice is rated as good.

• 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 the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that 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. For example, additional customer care training had been provided for reception staff following patient participation group (PPG) feedback.

We saw one area of outstanding practice:

The principal GP conducted regular checks of patient consultations for all other clinicians, nurses, health care assistant and locum GPs. The GP regularly discussed areas for improvement with locums and employed clinical staff.

The areas where the provider must make improvement are:

• Ensure recruitment checks are carried out in line with the practice policy for all staff.

The areas where the provider should make improvement are:

• Ensure that personnel records demonstrate adequate indemnity cover is in place for all clinical staff.
• Improve arrangements to protect patients such as installing an alarm in the disabled toilet and risk assessing blind pull cords in public areas.
• Ensure that the lead for infection prevention and control undertakes additional training for this role.
• Ensure patient group directions are consistently signed by the principal GP.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice