The Care Quality Commission
  • Doctor
  • GP practice

Dr Mahmoud Ibrahim Also known as Rossendale Valley Medical Practice

Overall: Good read more about inspection ratings

Haslingden Health Centre,, Manchester Road, Haslingden,, Rossendale, Lancashire, BB4 5SL (01706) 605100

Provided and run by:
Dr Mahmoud Ibrahim

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr Mahmoud Ibrahim on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr Mahmoud Ibrahim, you can give feedback on this service.

7 December 2019

During an annual regulatory review

We reviewed the information available to us about Dr Mahmoud Ibrahim on 7 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.

14th November 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on Dr. Mahmoud Ibrahim on 22 June 2017. The overall rating for the practice was good, although the practice was rated as requires improvement for safety. The full comprehensive report on the June 2017 inspection can be found by selecting the ‘all reports’ link for Dr. Mahmoud Ibrahim on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 14 November 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach identified in the requirement notice.

The practice is now rated as good for safe services, and overall the practice is rated as good.

Our key findings were as follows:

  • The practice had taken action to address the concerns raised at the CQC inspection in June 2017. They had put measures in place to ensure they were compliant with regulations.
  • Appropriate arrangements were now in place for monitoring the supply of emergency drugs.
  • The practice had improved arrangements to ensure that vaccines were stored at consistently safe temperatures.
  • Recommendations made at the previous inspection, such as updated training in the Mental Capacity Act (2005) and reviewing the recruitment policy had been actioned.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

22nd June 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rossendale Valley Medical Practice on 17 December 2015. The overall rating for the practice was requires improvement.

The full comprehensive report on the December 2015 inspection can be found by selecting the ‘all reports’ link for Dr.M.Ibrahim on our website at www.cqc.org.uk.

This announced comprehensive follow up inspection was undertaken on 22nd June 2017. Overall the practice is now rated as Good.

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

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

  • Risks to patients were assessed and managed. However there was no risk assessment regarding the availability of emergency drugs or the impact of unsupervised children in the treatment room.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect.
  • The practice was above average for its satisfaction scores on consultations with GPs and nurses.
  • The health and wellbeing of patients in relation to their caring responsibilities was reviewed when they attended for a consultation or health check. They were directed to the various avenues of support available to them.
  • Information about the services provided and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients told us they found it easy to make an appointment with the GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • 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 and complied with the requirements of the duty of candour.

There was an area of outstanding practice:

  • Appointments were offered from 06.30am on two days each week for people who worked or those with anxiety or social phobia who were unable to wait in a full waiting room.

However there was an area of practice where the provider must make improvements:

  • Ensure care and treatment is provided in a safe way to patients

There were areas where the provider should make improvements:

  • The practice nurse should receive training in the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards.

  • The practice should put appropriate professional indemnities in place for all staff.

  • The recruitment policy should be regularly reviewed and updated

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

17/12/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rossendale Valley Medical Practice on 17 December 2015. Overall the practice is rated as requires improvement.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
  • Although some audits had been carried out, we saw no evidence that audits were driving improvement in performance to improve patient outcomes.
  • The majority of patients said they were treated with compassion, dignity and respect.
  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies and procedures to govern activity, but some were overdue a review.
  • The practice had proactively sought feedback from patients and had an active patient participation group.

The areas where the provider must make improvements are:

  • Ensure recruitment arrangements include all necessary employment checks for all staff employed by the practice. This includes the need for a Disclosure and Baring Service (DBS) check when appropriate, such as when staff are acting as chaperones.

  • Ensure all staff have the relevant training to carry out their role and responsibilities, for example, safeguarding training. Ensure all staff receive supervision and appraisal within appropriate timescales and all staff files are monitored regularly.

  • Ensure a programme of clinical and non-clinical audits and re-audits is implemented to improve patient outcomes.
  • Ensure the arrangements for identifying, recording and managing risks and implementing the mitigating actions are fully embedded.

In addition the provider should:

  • Review and update policies to ensure that practice was consistent with current guidance.

  • Staff should have access to job descriptions to ensure they are aware of the roles and responsibilities they have.

  • More routine staff meetings should be available and any learning should be shared with all staff groups.

  • Respond to feedback sought from all sources including the national GP patient survey and information from the NHS Choices website.

  • Ensure the practice business continuity plan is up to date and fit for purpose.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice