The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dearden Avenue Medical Practice Also known as Dr A Ahuja Surgery

Overall: Good read more about inspection ratings

1A Dearden Avenue, Little Hulton, Manchester, Lancashire, M38 9GH (0161) 983 0011

Provided and run by:
Dr Amarjeet Ahuja

Important: The provider of this service changed. See new profile

All Inspections

29/11/2019

During an inspection looking at part of the service

We carried out a focused inspection at Dearden Avenue Medical Practice on 29 November 2019. The announced inspection was part of our inspection programme. Following a five-year inspection interval based on a Care Quality Commission annual regulatory review we inspected the key questions effective and well led and utilised information from our previous inspection findings for the key questions safe, caring and responsive. We based our judgement of the quality of care at this service on a combination of:

• What we found when we inspected

• Information from our ongoing monitoring of data about services and

• Information from the provider, patients, the public and other organisations

We have rated this practice as good overall and good for all population groups. We found that:

  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of person-centre care.

We rated the practice as good for providing effective services because:

  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
  • The practice understood the needs of its population and tailored services in response to those needs.

We rated the practice as good for providing a well led service because:

  • There was a clear leadership structure and staff felt supported by management. The practice had a number of policies and procedures to govern activity and held regular governance meetings.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of person-centre care.
  • The practice proactively sought feedback from staff and patients, which it acted on.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care

18 July 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 at Dearden Avenue Medical Practice on 28 October 2014. The overall rating for the practice was good however there were improvements required in the key question safe. We also carried out an announced focussed inspection on 16 February 2017. At this inspection we found that although the practice had made some improvements there was still improvement to be made in providing safe services. Overall, the practice was rated as good. The full comprehensive report on the 28 October 2014 inspection and the announced focussed report from the 16 February 2017 inspection can be found by selecting the ‘all reports’ link for Dearden Avenue Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 18 July 2017 to confirm 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 inspections. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings at this inspection were as follows:

  • We reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Good Governance, and Regulation 19 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Fit and proper persons employed.
  • Recruitment folders were in place for staff and all staff had an up to date Disclosure and Barring Service (DBS) check in place and recruitment files contained all relevant information as stated in schedule three of the Health and Social Care Act.
  • We found that the practice had a system in place for documenting significant events and all significant events were now recorded.
  • Practice policies and procedures were in place, in particular those for infection control, and were easily accessible for staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

16 February 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

This was a focused inspection of Dearden Avenue Medical Practice in one area within the key question safe. The evidence was reviewed at Dearden Avenue Medical Practice.

At this inspection we found that although the practice had made improvements in some areas other improvements were still required in providing safe services. Overall, the practice is rated as good.

The practice was previously inspected on 28 October 2014. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall but required improvement for providing safe services.

Our key findings were as follows:

  • At the inspection on 16 February 2017 we reviewed a range of documents and found that some of the required improvements had been made.
  • Recruitment folders were in place for staff and all staff had an up to date Disclosure and Barring Service (DBS) check in place.
  • The practice was holding regular team meetings and minutes of these were available.
  • We found that the practice had a system in place for documenting significant events but there was an example of a significant event not being recorded.
  • Infection control policies were in place but were not being followed and staff members struggled to locate these when we requested them.

The areas where the provider must make improvements are:

  • Ensure all significant events are reported.
  • Ensure recruitment files contain relevant information as stated in schedule three of the Health and Social Care Act.

The areas where the provider should make improvements are:

  • All policies should be followed and easily accessible to staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

28 October 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

Dear Dr Ahuja

Dearden Avenue Medical Practice was inspected on the 28 October 2014. This was a comprehensive inspection. This means we reviewed the provider in relation to the five key questions leading to a rating on each on a four point rating scale. We assessed all six of the population groups and the inspection took place at the same time as we inspect a number of practices in the area overseen by Salford Clinical Commissioning Group (CCG).

We rated Dearden Avenue Medical Practice as requiring improvement in respect of being safe and good in relation to being effective, caring, responsive and well-led. The overall rating for the practice was good.

Our key findings were as follows:

Systems were in place for ensuring the practice was regularly cleaned. We found the practice to be clean at the time of our visit. A system was in place for managing Infection prevention and control.

The practice had systems in place to ensure best practice was followed. This is to ensure that people’s care, treatment and support achieves good outcomes and is based on the best available evidence.

Information we received from patients reflected that practice staff interacted with them in a positive and empathetic way. They told us that they were treated with respect, always in a polite manner and as an individual.

Patients spoke positively in respect of accessing services at the practice. A system was in place for patients who required urgent appointments to be seen the same day. Patients accessed appointments by telephone as the practice did not have a web site.

There were however also areas of practice where the provider needs to make improvements.  

Importantly, the provider must:

Take action to ensure that people who use the service are protected by operating effective recruitment and selection procedures that includes relevant checks being carried out (and evidenced) when staff are employed. Regulation 21(a) (b) Health & Social Care Act 2008 (Regulated Activities) Regulations 2010.

In addition the provider should:

The practice held regular staff practice meetings. We looked at minutes from recent meetings and found that whilst performance, quality and risks had been discussed the minutes of meetings we looked at lacked detail of this discussion and how actions taken are monitored over time to ensure they are embedded and effective.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice