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Dr Ndubisi Moses Okorie Good

Inspection Summary


Overall summary & rating

Good

Updated 23 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Ndubisi Moses Okorie on 6 April 2016. The overall rating for the practice was good with requires improvement in safe. The full comprehensive report from 6 April 2016 can be found by selecting the ‘all reports’ link for Dr Ndubisi Moses Okorie on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 6 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 6 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated good. Specifically, following the focused inspection we found the practice to be rated good for providing safe services.

Our key findings were as follows:

  • The practice had medical emergency oxygen and a defibrillator on the premises to deal with medical emergencies and all staff had received up to date training in basic life support.

  • We found recruitment checks for the locum GP employed since the comprehensive inspection on 6 April 2016 had been completed.

  • The practice had implemented a system to monitor and track blank prescriptions within the practice.

  • The business continuity plan had been updated to include staff contact details and was easily accessible in the office for staff to refer to in an emergency.

  • Systems to record the monitoring of cleaning of equipment used for patient care and flushing of water systems had been implemented.

  • The health and safety poster had been updated with the practice’s representative details.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 23 March 2017

The practice is rated good for providing safe services:

  • The practice had oxygen and a defibrillator on the premises to deal with medical emergencies and all staff had received basic life support training.

  • We found recruitment checks for the locum GP employed since the comprehensive inspection on 6 April 2016 had been completed.

  • The practice had implemented a system to monitor and track blank prescriptions within the practice.

  • The business continuity plan had been updated to include staff contact details and was easily accessible in the office for staff to refer to in an emergency.

  • Systems to record the monitoring of cleaning of equipment used for patient care and flushing of water systems had been implemented.

  • The health and safety poster had been updated with the practice’s representative details.

Effective

Good

Updated 23 March 2017

Caring

Good

Updated 23 March 2017

Responsive

Good

Updated 23 March 2017

Well-led

Good

Updated 23 March 2017

Checks on specific services

People with long term conditions

Good

Updated 16 May 2016

The practice is rated as good for the care of people with long term conditions.

  • The practice nurse had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

  • Longer appointments and home visits were available when needed.

  • All these patients had a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

Good

Updated 16 May 2016

The practice is rated as good for the care of families, children and young people.

  • There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances.

  • Childhood immunisation rates were lower than national averages. Staff told us they would telephone patients who did not attend for their immunisations and would involve the health visitor when required.

  • Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.

  • Data showed 93% of women eligible for a cervical screening test had received one in the previous five years compared to the national average of 82%.

  • All children were offered a same day appointment.

  • Appointments were available outside of school hours and the premises were suitable for children and babies.

  • We saw positive examples of joint working with midwives and health visitors.

Older people

Good

Updated 16 May 2016

The practice is rated as good for the care of older people.

  • The practice offered proactive, personalised care to meet the needs of the older people in its population.

  • The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

  • The percentage of people aged 65 or over who received a seasonal flu vaccination was 72.3%, comparable to the national average of 72.99%.

Working age people (including those recently retired and students)

Good

Updated 16 May 2016

The practice is rated as good for the care of working age people (including those recently retired and students).

  • The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

  • The practice offered evening and weekend appointments through the Sheffield satellite clinical scheme.

  • The practice offered online services as well as a full range of health promotion and screening that reflects the needs for this age group.

People experiencing poor mental health (including people with dementia)

Good

Updated 16 May 2016

The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia).

  • Of those patients diagnosed with dementia, 100% had had their care reviewed in a face to face meeting in the last 12 months, which was above the national average of 84%.

  • Of those patients diagnosed with a mental health condition, 100% had a comprehensive care plan reviewed in the last 12 months, which was above the national average of 88%. It was noted that although the percentage of patients excepted from this indicator was high at 66.7%, there was a low prevalence of patients on the register.

  • The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.

  • The practice carried out advance care planning for patients with dementia.

  • The practice had informed patients experiencing poor mental health about how to access various support groups and voluntary organisations.

  • The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

  • Staff had a good understanding of how to support patients with mental health needs and dementia.

  • The practice hosted Improving Access to Psychological Therapies Programme (IAPT) to support patients’ needs.

People whose circumstances may make them vulnerable

Good

Updated 16 May 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

  • The practice held a register of patients living in vulnerable circumstances including those with a learning disability.

  • The practice offered longer appointments for patients with a learning disability.

  • The practice regularly worked with multidisciplinary teams in the case management of vulnerable people.

  • The practice informed patients whose circumstances could make them vulnerable about how to access various support groups and voluntary organisations.

  • Staff knew how to recognise signs of abuse in adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.