Dr Simria Tanvir - Care Quality Commission

Background to this inspection

Updated 19 May 2017

Dr Simria Tanvir (also known as North Hyde Road Surgery) is a well-established GP practice situated within the London Borough of Hillingdon. The practice lies within the administrative boundaries of NHS Hillingdon Clinical Commissioning Group (CCG) and is a member of the Clover Health GP Network GP network in the Hillingdon locality.

The practice provides primary medical services to approximately 3,300 patients living in Hayes. The practice holds a core General Medical Services contract and Directed Enhanced Services contracts. The practice is located at 167 North Hyde Road, Hayes, Hillingdon UB3 4NS with good bus transport links. The practice premises include three consulting rooms, a conference room, administration rooms and patient waiting area. There is wheelchair access to the entrance of the building and accessible toilet facilities. Off street car parking is available nearby.

The practice population is ethnically diverse and has a higher than the national average number of male and female patients between 0 and 19 years of age and between 25 and 44 years of age. There is a lower than the national average number of patients 55 years plus. The practice area is rated in the fifth more deprived decile of the national Index of Multiple Deprivation (IMD). People living in more deprived areas tend to have greater need for health services. Data from Public Health England 2015/16 shows the practice has a lower percentage of patients with a long-standing condition compared to CCG and England averages (49%, 50%, and 53% respectively).

The practice team comprises of one principal female GP, one female regular locum GP and a male locum GP who collectively work 10 sessions per week. They are supported by a part time female practice nurse, a health care assistant/receptionist, a practice manager, facilities manager and three receptionists.

The practice is registered with the Care Quality Commission to provide the regulated activities of diagnostic & screening procedures, family planning, maternity & midwifery services and treatment of disease disorder & Injury.

The practice opening hours are 9am to 6.30pm Monday to Friday with the exception of Wednesday when it is closed from 1pm. Appointments in the morning are available from 9am to 11.30am Monday to Friday and from 4pm to 6pm Monday, Tuesday, Thursday and Friday. Extended hours pre-bookable appointments are offered from 6.30pm to 7.20pm Monday and Friday. Telephone consultation appointments are available daily. The details of the out-of-hours service are communicated in a recorded message accessed by calling the practice when it is closed and on the practice website.

The practice provides a wide range of services including chronic disease management, childhood immunisations, cervical screening and travel vaccinations.

Overall inspection

Good

Updated 19 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Simria Tanvir (also known as North Hyde Practice) on 19 January 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 19 January 2016 inspection can be found by selecting the ‘all reports’ link for Dr Simria Tanvir on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 12 December 2016 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 19 January 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

The practice ensured that non-clinical staff undertaking chaperone duties completed relevant training
The practice had made improvements in the assessment of risks to patients, visitors and staff. There was evidence of completed risk assessments for health and safety, fire, and legionella. Fire safety arrangements now included a schedule of internal fire alarm testing and drills.
The practice had implemented a comprehensive cleaning schedule and log including the frequency of deep cleaning tasks.
Arrangements were in place for the monitoring of prescription stationery from when received and distributed within the practice.
The practice had a defibrillator for use in a medical emergency.
There was evidence of completed audit cycles to demonstrate quality improvement.
Processes were in place for the induction of locum GPs who were recruited to work at the practice.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice