Archived: Dr Ahmad' & Dr Zakai's Surgery Also known as Boneyhay Surgery

Updated 11 June 2015

Dr Ahmad and Dr Zakai’s Surgery is situated in the area of Boney Hay, close to the town of Burntwood, Staffordshire.

The practice has been in existence for over 40 years and operates from an adapted house in a residential area. One of the GPs has been providing services at the practice for over 30 years.

The practice has two GPs (one male and one female) who work in partnership. An experienced female practice nurse provides all nursing support and duties for patients. The administrative team is overseen by a practice manager and contains four other members of staff. Cleaning in the practice is done on a daily basis by an external cleaning contractor.

At the time of our inspection there were approximately 1,900 patients of all ages registered at the practice. The practice has a higher proportion of patients aged 50 years and above than the expected national average. For example, the number of male patients aged 65 to 69 years is over 50% higher than the national average for the practice size.

The practice holds a Personal Medical Services with NHS England and has expanded its contractual obligations to provide enhanced services by arrangement with the clinical commissioning group (CCG) and Public Health England. Examples of enhanced services at the practice include minor surgery, avoiding unplanned admissions, insertion of intrauterine device (to avoid pregnancy) and extended opening hours.

The practice does not provide services for patients outside of normal working hours; these services are provided by Staffordshire Doctors Urgent Care Ltd.

Updated 11 June 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Ahmad and Dr Zakai’s Surgery on 12 March 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including those with dementia).

Our key findings 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.

• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.

• Risks to patients were assessed and well managed, with the exception of those relating to the practice building.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

• Expand the use of significant events as detailed in the National Patient Safety Agency (NPSA) guidance on significant event audit in primary care (2008).

• Ensure all staff identified as chaperones are trained to understand and perform the role effectively.

• Ensure that patients, visitors and staff are protected from the risk of water borne infection by means of completing and acting on the results of a legionella risk assessment.

• Audit the outcomes of patients who receive minor surgery and invasive contraceptive procedures at the practice to help to ensure that procedures undertaken are effective and complications are known and minimised.

• Improve record keeping of risk assessments and the actions taken in response to identified risks, to promote good governance.

• Consider the secure sharing of relevant care and treatment information with out-of-hours providers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 11 June 2015

The practice is rated as good for the care of people with long-term conditions. The practice nurse had a lead role 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 named GP and a structured annual review to check that their health and medication needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 11 June 2015

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. A GP had extended training in family planning and was able to provide enhanced contraceptive services in house. Immunisation rates were high for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives and health visitors.

Updated 11 June 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services. For example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs. All patients over the age of 75 had a named GP.

Updated 11 June 2015

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 was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 11 June 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). All patients on the practice register for poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people who experienced poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Staff had received training on how to care for people with mental health needs and dementia.

Updated 11 June 2015

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. It had carried out annual health checks for patients with a learning disability and all of these patients had received a follow-up.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients. It had told vulnerable patients about how to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable 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.