Archived: Dr Tariq Rahman Also known as Cecil Square Surgery

Updated 9 July 2015

Dr Tariq Rahman (also known as Cecil Square Surgery) is situated in Margate, Kent and has a registered patient population of 2,167 (1,131 male and 1,036 female). There are 621 registered patients under the age of 19 years (317 male and 304 female), 1,449 registered patients between the age of 20 and 74 years (770 male and 679 female) and 85 registered patients over the age of 75 years (36 male and 49 female).

Primary medical services are provided Monday, Wednesday and Friday between the hours of 8.30am to 6pm, Tuesday 8.30am to 7pm and Thursday 8.30am to 11am. Primary medical services are available to patients registered at Dr Tariq Rahman via an appointments system. There are a range of clinics for all age groups as well as the availability of specialist nursing treatment and support. There are arrangements with other providers (the 111 service and IC24) to deliver services to patients outside of Dr Tariq Rahman’s working hours.

The practice staff consisted of one GP (male), one practice manager, one practice nurse (female), one respiratory nurse (female), two healthcare assistants (both female) one administrator and two receptionists. There is a reception and a waiting area on the ground floor. All patient areas one the ground floor are wheelchair accessible.

Services are provided from Cecil Square Surgery, 1 Cecil Square, Margate, Kent, CT9 1BD, only.

The practice has a general medical services (GMS) contract with NHS England for delivering primary care services to local communities.

Updated 9 July 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Dr Tariq Rahman (also known as Cecil Square Surgery) on 5 February 2015. Overall the practice is rated as requires improvement.

Specifically, we found the practice to be good for providing effective and caring services. It required improvement for providing safe, responsive and well-led services which has led to this rating being applied to all patient population groups; older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Not all risks to patients were assessed and well managed. For example, the practice was unable to demonstrate that risk assessments had been carried out in order to identify infection control risks and implement plans to reduce them where possible.
• Patients' needs were assessed and care was planned and delivered in line with current legislation. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment. Information to help patients understand the services available was easy to understand. Staff treated patients with kindness and respect, and maintained confidentiality.
• 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. However, the practice did not provide an on-line booking service for appointments or repeat prescriptions.
• There was a clear leadership structure and staff felt supported by management. The practice sought feedback from staff and patients, which it acted on.

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

Importantly the provider must;

• Review its infection control management to ensure all areas of the practice are clean and comply with national infection control guidance.
• Review its risk assessment activity to include infection control
• Ensure it is equipped to deal adequately with medical emergencies before the arrival of an ambulance.
• Revise its governance processes and ensure that all documents used to govern activity are up to date and contain contact details of relevant external organisations.

The provider should also;

• Review guidance available to staff in the management of patient consent as well as equality and diversity
• The provider should ensure all relevant staff have up to date knowledge of the Mental Capacity Act 2005.
• Review information about the practice and ensure it is readily available to all patients when they need to access it.
• Review its process for recording complaints processes as well as feedback given to staff on outcomes from serious untoward incident investigations and results of clinical audit activity.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 9 July 2015

The practice is rated as requires improvement for the care of people with long-term conditions. The overall rating applies to everyone using the practice, including this patient population group. Documents were available that guided staff specifically in the care of patients with long-term conditions. Service provision for patients with long-term conditions included dedicated clinics with a recall system that alerted patients as to when they were due to re-attend. The practice employed staff trained in the care of patients with long-term conditions. The practice supported patients to manage their own long-term conditions. Specific health promotion literature was available. Not all risks to patients were assessed and well managed and the practice was unable to demonstrate it was equipped to deal adequately with a medical emergency before the arrival of an ambulance.

Updated 9 July 2015

The practice is rated as requires improvement for the care of families, children and young people. The overall rating applies to everyone using the practice, including this patient population group. Documents were available that guided staff specifically in the care of families, children and young people. Services for mothers, babies, children and young people at Cecil Square Surgery included dedicated midwives and health visitor care. Specific health promotion literature was available. The practice held regular multi-professional staff meetings that included staff who specialised in the care of mothers, babies and children. Not all risks to patients were assessed and well managed and the practice was unable to demonstrate it was equipped to deal adequately with a medical emergency before the arrival of an ambulance.

Updated 9 July 2015

The practice is rated as requires improvement for the care of older people. The overall rating applies to everyone using the practice, including this patient population group. Documents were available that guided staff specifically in the care of older patients. Patients over the age of 75 had been allocated a dedicated GP to oversee their individual care and treatment requirements. Patients were able to receive care and treatment in their own home from practice staff as well as district nurses and palliative care staff. There were plans to help avoid older patients being admitted to hospital unnecessarily. Specific health promotion literature was available as well as details of other services for older people. The practice held regular multi-professional staff meetings that included staff who specialised in the care of older people. Not all risks to patients were assessed and well managed and the practice was unable to demonstrate it was equipped to deal adequately with a medical emergency before the arrival of an ambulance.

Updated 9 July 2015

The practice is rated as requires improvement for the care of working age people (including those recently retired and students). The overall rating applies to everyone using the practice, including this patient population group. Documents were available that guided staff specifically in the care of working age patients (including those recently retired and students). The practice provided a variety of ways this patient population group could access primary medical services. These included appointments from 8.30am to 6pm on Monday, Wednesday and Friday as well as 8.30am to 7pm on Tuesday each week day and telephone consultations. Specific health promotion literature was available. Not all risks to patients were assessed and well managed and the practice was unable to demonstrate it was equipped to deal adequately with a medical emergency before the arrival of an ambulance.

Updated 9 July 2015

The practice is rated as requires improvement for the care of people experiencing poor mental health (including people with dementia). The overall rating applies to everyone using the practice, including this patient population group. Documents were available that guided staff specifically in the care of patients experiencing poor mental health including young patients. This patient population group had access to psychiatrist and community psychiatric nurse services as well as local counselling services. Specific health promotion literature was available. The practice held regular multi-professional staff meetings that included staff who specialised in the care of patients experiencing poor mental health. Not all risks to patients were assessed and well managed and the practice was unable to demonstrate it was equipped to deal adequately with a medical emergency before the arrival of an ambulance.

Updated 9 July 2015

The practice is rated as requires improvement for the care of people living in vulnerable circumstances. The overall rating applies to everyone using the practice, including this patient population group. The practice offered primary medical service provision for people in vulnerable circumstances in a variety of ways. Patients not registered at the practice could access services and interpreter services were available for patients whose first language was not English. Specific health promotion literature was available. Specific screening services were also available. Not all risks to patients were assessed and well managed and the practice was unable to demonstrate it was equipped to deal adequately with a medical emergency before the arrival of an ambulance.