Background to this inspection
Updated
23 November 2017
Dr Amar Kaw, also known as Ingrebourne Medical Centre, is located in a converted house within a residential area of London. The practice is a part of Havering Clinical Commissioning Group.
There are 2855 patients registered at the practice. Data showed 55% of working aged patients were in paid work or full time education, which is lower than the CCG average of 62% and the national average of 61%.
The practice has one male principal GP completing nine sessions per week, two female practice nurses carrying out 13 sessions per week, a practice manager a business manager and six reception/administration staff members. There are arrangements in place to enable access to a female GP if requested. The practice is a designated teaching practice for third to fifth year medical students.
The practice provides services under a General Medical Services (GMS) Contract with NHS England. This is the commonest form of GP contract.
The practice’s opening times are:
Phone lines are open from 8:00am.
Appointment times are as follows:
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Monday 8:30am to 1:00pm and 2:00pm to 8:00pm.
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Tuesday 8:30am to 12:00pm and 2:00pm to 6.00pm.
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Wednesday 8:30am to 1.00pm (door closed but phones still answered).
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Thursday 8:40am to 12:00pm and 1:30pm to 6:30pm.
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Friday 8:40am to 1:00pm and 4:00pm to 6:00pm.
The locally agreed out of hours provider covers calls made to the practice whilst it is closed.
Dr Amar Kaw operates regulated activities from one location 135 Straight Road, Harold Hill, Romford, RM3 7JJ and is registered with the Care Quality Commission to provide surgical procedures, diagnostic and screening procedures, treatment of disease disorder or injury and maternity and midwifery services.
Updated
23 November 2017
Letter from the Chief Inspector of General Practice
We previously carried out an announced comprehensive inspection at Dr Amar Kaw on 30 August 2016. The overall rating for the practice was good. Within that overall rating the practice was rated as requires improvement for providing safe services. This was because it was not meeting legal requirements in relation to some aspects of:
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Infection prevention and control.
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Fire and electrical safety.
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Disclosure and Barring Service (DBS) checks for staff. DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable.
The full comprehensive report of the August 2016 inspection can be found at www.cqc.org.uk/location/1-507808099.
This inspection on 24 October 2017 was an announced focused inspection and was carried out to confirm that the practice had completed its plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 30 August 2016. This report covers our findings in relation to those requirements.
Overall the practice is rated as good.
Our key findings were as follows:
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Every member of staff carrying out chaperone duties had received a DBS check.
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The practice took action to mitigate risks associated with the spread of infection and with legionella.
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Staff had completed fire training.
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An exposed light socket in the patient toilet had been replaced.
The provider had also acted on recommendations we made at our previous inspection and implemented additional improvements:
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The practice had reviewed and updated its service continuity plan for major incidents such as power failure or building damage. The plan included emergency contact numbers for staff.
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Action had been taken to increase child immunisation rates and the practice had vaccinated 100% of children up to age two. The national expected coverage of vaccinations is 90%.
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From the sample of two documented examples we reviewed we found that care plans for people with learning disabilities were complete. The practice had ten people on its learning disabilities register.
At our previous inspection on 30 August 2016 we rated the practice as requires improvement for providing safe services because not all risks to the health and safety of service users were being managed and mitigated. At this inspection we found the shortfalls we identified had been remedied. Consequently, the practice is rated as good for providing safe services.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
23 November 2017
The practice is rated as good for the care of p
eople with long-term conditions.
The rating was given following the comprehensive inspection in August 2016. A copy of the full report following the August 2016 inspection is available on our website at
www.cqc.org.uk/location/1-507808099.
Families, children and young people
Updated
23 November 2017
The practice is rated as good for the care of
families, children and young people
.
The rating was given following the comprehensive inspection in August 2016. A copy of the full report following the August 2016 inspection is available on our website at w
ww.cqc.org.uk/location/1-507808099.
Updated
23 November 2017
The practice is rated as good for the care of older people.
The rating was given following the comprehensive inspection in August 2016. A copy of the full report following the August 2016 inspection is available on our website at
www.cqc.org.uk/location/1-507808099.
Working age people (including those recently retired and students)
Updated
23 November 2017
The practice is rated as good for the care of
working age people (including those recently retired and students)
.
The rating was given following the comprehensive inspection in August 2016. A copy of the full report following the August 2016 inspection is available on our website at
www.cqc.org.uk/location/1-507808099.
People experiencing poor mental health (including people with dementia)
Updated
23 November 2017
The practice is rated as good for the care of p
eople experiencing poor mental health (including people with dementia).
The rating was given following the comprehensive inspection in August 2016. A copy of the full report following the August 2016 inspection is available on our website at
www.cqc.org.uk/location/1-507808099.
People whose circumstances may make them vulnerable
Updated
23 November 2017
The practice is rated as good for the care of p
eople whose circumstances may make them vulnerable
.
The rating was given following the comprehensive inspection in August 2016. A copy of the full report following the August 2016 inspection is available on our website at
www.cqc.org.uk/location/1-507808099.