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Dr Muhammad Akbar Khan Good Also known as Horn Lane Surgery

Reports


Review carried out on 31 December 2019

During an annual regulatory review

We reviewed the information available to us about Dr Muhammad Akbar Khan on 31 December 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 12 September 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Muhammad Akbar Khan on 23 August 2016. The practice was rated as requires improvement for providing safe, effective and well-led services and good for providing caring and responsive services. The overall rating for the practice was requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Muhammad Akbar Khan on our website at www.cqc.org.uk.

This inspection was an announced comprehensive follow up inspection on 12 September 2017 to check for improvements since our previous inspection. Overall the practice is now rated as good.

Our key findings were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.

  • The practice had clearly defined and embedded systems to minimise risks to patient safety.

  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.

  • Results from the national GP patient survey were generally below average. However, the provider had an action plan in place to improve patient satisfaction.

  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.

  • Patients we spoke with and comment cards received reported that appointments could be made with a named GP in a reasonable timeframe and urgent appointments were available the same day.

  • The practice had poor facilities to treat patients and meet their needs. However, the provider had secured funding to improve the practice.

  • 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

    However, there were also areas of practice where the provider needs to make improvements.

The provider should:

  • Take action to improve childhood immunisation rates and bowel/breast cancer screening rates.

  • Continue to identify and support more patients who are carers.

  • Improve the documentation of meeting minutes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 23 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Muhammad Akbar Khan on 21 August 2016. Overall the practice is rated as requires improvement.

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

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The procedure for disseminating and acting on safety alerts was not failsafe.
  • We were not assured that all staff were trained in safeguarding to the appropriate level for their role and that the healthcare assistant administered vaccines safely.
  • Risks to patients were assessed and generally well managed although some risks had not been identified. For example, those relating to fire safety.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. However, the provider could not demonstrate that all 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 how to complain was available however the complaints procedure was not displayed in the patient waiting area to empower patients to make a complaint.
  • 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 facilities and equipment to treat patients and meet their needs although the premises were in need of a general upgrade.T

    he provider was looking for suitable premises for relocation and in the meantime plans were in place to improve the current premises.

  • There was a clear leadership structure and staff felt supported by management. The practice 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.

The areas where the provider must make improvement are:

  • Implement a system to ensure patient safety alerts are acted on.
  • Carry out a fire risk assessment to identify and mitigate risks relating to fire safety.
  • Ensure that all staff are trained in safeguarding to the appropriate level for their role and role specific training can be evidenced for the healthcare assistant and the nurse.
  • Ensure patient specific prescriptions or directions are in place from a prescriber to allow the healthcare assistant to administer vaccines safely.

In addition the provider should:

  • Carry out and record regular checks of the oxygen cylinder and defibrillator to ensure they are in good working order.
  • Ensure written references are sought for all staff prior to employment.
  • Review the child protection register to ensure it is accurate.
  • Consider ways to identify more patients who are also carers.
  • Ensure information about how to complain is readily available to empower patients to raise concerns.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice