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Dr Samy Morcos Good Also known as The White Practice

Reports


Review carried out on 28 December 2019

During an annual regulatory review

We reviewed the information available to us about Dr Samy Morcos on 28 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.

Inspection carried out on 27 September 2018

During an inspection looking at part of the service

This practice is rated as Good overall. (Previous inspection August 2017 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced focused inspection at Dr Samy Morcos on the 27 September 2018. This was to follow up on a breach of regulations identified at our previous inspection. At our previous inspection on the 24 August 2017 we found that the provider did not have complete records of recruitment. The details of these can be found by selecting the ‘all reports’ link for Dr Samy Morcos on our website at www.cqc.org.uk.

At this inspection we found:

  • The practice had addressed the concerns that were identified at our previous inspections and had complete records of recruitment checks.
  • The practice had processes in place to report concerns or actions and monitor the actions taken by the landlord regarding property maintenance.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection carried out on 24 August 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

When we visited Dr Samy Morcos (which is also known as The White Practice) on 15 November 2016, to carry out a comprehensive inspection, we rated them as good overall. However, we found breaches in the regulations relating to employment of staff and rated the practice as required improvement for the provision of safe services. We said that they must:

  • Ensure the staff records required by regulation are in place and maintained on record.

We also said they should;

  • Keep their national patient survey results under review and take action as appropriate. This included reviewing the low response levels related to involvement in decisions about care.

This inspection was an announced focused inspection carried out on 24 August 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 at our previous inspection. This report covers our findings in relation to those requirements. This report should be read in conjunction with the full report of our inspection on 15 November 2016, which can be found on our website at

www.cqc.org.uk

.

We found the practice had not done enough to meet the regulation previously breached and the practice continues to be rated as requires improvement for the provision of safe services. Overall the practice continues to be rated as good.

Our key findings were as follows:

 

  • The practice had not ensured that the staff records required by regulation were in place and maintained on record. Specifically,

    • Not all the references for staff were in writing and included the referee’s name, job title and a landline number as recommended by best practice guidance.

    • The practice did not have adequate process in place to assure themselves that  nurses employed at the practice continued to be on the professional nurse register.  

  • We found there were some on-going issues regarding the safety of the building. For example, there was no evidence the actions recommended by a specialist contractor in December 2016 in relation to the risks posed by asbestos had been completed.​

  • We saw evidence that the practice had been reviewing their results from the national GP patient survey.

     The latest survey results published in July 2017 showed that 79% of patients said the last GP they saw was good at involving them in decisions about their care compared to the local average of 83% and national average of 82%. This was a 13% improvement from the previous year’s results.

We identified regulations that were not being met and the provider must:

  • Ensure the staff records required by regulation are in place and maintained on record.

In addition the provider should:

  • Continue to take action to ensure the actions recommended by an external specialist in relation to asbestos are completed.

  • Ensure they adequately record actions taken to report building maintenance issues to the landlord.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 15 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Samy Morcos on 15 November 2016. Overall the practice is rated as Good.

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

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • 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.
  • 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 well managed. However the recruitment records for staff did not ensure patient safety.
  • Information about services 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 said they found it easy to make an appointment with a named 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.

The areas where the provider must make improvement are:

  • The provider must ensure records for staff required by regulation are in place and maintained on record.

The areas where the provider should make improvement are:

  • The provider should keep their national patient survey results under review and take action as appropriate. This includes reviewing the low response levels related to involvement in decisions about care.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice