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Teehey Lane Medical Centre - Dr. M Salahuddin Good

Reports


Review carried out on 16 November 2019

During an annual regulatory review

We reviewed the information available to us about Teehey Lane Medical Centre - Dr. M Salahuddin on 16 November 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 25 May 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 Teehey Lane Medical Centre on 25 August 2016.The overall rating for the practice was good but required improvement for providing safe services. The full comprehensive report on the 25 August 2016 inspection can be found by selecting the ‘all reports’ link for Teehey Lane Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused carried out on 25 May 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 in our previous inspection on 25 August 2016. This report includes our findings in relation to those requirements.

Overall the practice is rated as good and good for providing safe services.

Our key findings were as follows:

  • The practice had addressed the majority of the issues identified during the previous inspection 25 August 2016. Improvements included: further training for the lead GP with regards to updates on safeguarding and accessing safeguarding records within the computer system; and a system for managing uncollected prescriptions.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 25 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Teehey Lane Medical Centre on 25 August 2016. Overall the practice is 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 a system in place for reporting and recording significant events.
  • Risks to patients were not always effectively assessed and managed with particular regard to safeguarding.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand and 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 registered manager did not demonstrate that they had the skills, experience and competencies to effectively manage and monitor the activity of the practice.
  • 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 improvements are:

  • Ensure the lead for safeguarding within the practice has the necessary knowledge and expertise to effectively monitor the systems and processes in place to mitigate risks to patients’ safety and welfare.

The areas where the provider should make improvement are:

  • Review the newly introduced system to monitor uncollected prescriptions, to ensure sustainability.

  • Continue to provide appropriate training to improve the skills competencies and experience of the registered manager to ensure the management of the regulated activity is safe and effective. With particular regard to the management and oversight of safeguarding systems, practice systems and processes and the Mental Capacity Act 2005.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 8 May 2014

During an inspection looking at part of the service

When we inspected Teehey Lane Surgery in January 2014 we found that improvements were needed to the systems used by the provider to ensure that people using the practice were cared for, or supported by, suitably qualified, skilled and experienced staff. Also suitable arrangements were not in place to demonstrate that all staff were appropriately supported in relation to their responsibilities by receiving appropriate training, supervision and appraisal.

Following that visit the provider carried out improvements and we carried out this inspection to follow up on the actions taken by the provider to ensure people were safe.

We looked at the records and the documents relating to the recruitment, selection support, supervision and training of staff.

We found that improvements had been made and that the requirements of these essential standards were being met.

Inspection carried out on 8 January 2014

During a routine inspection

We spoke with seven patients who told us they were happy with the consultations they had with their GP. They said they had time to discuss their concerns during the consultation and that treatment, tests and test results were explained to them. They said they were able to get an appointment when they needed one. They described the service as accessible, comfortable and clean. They said that staff were respectful, helpful and polite. Some comments made about the service were:-

�It really works very well.�

�I get seen when I need it and the doctor listens to what I have to say.�

�It�s very, very good. �

�I am never rushed. I was in an appointment for half an hour today.�

�I am very happy with the service provided.�

�The receptionists are polite and friendly.�

We found that patients were respected and involved in the service provided to them.

There were practices in place to ensure patients experienced care and treatment that met their needs.

We found that the service had quality assurance systems to ensure patients were fully protected from risks to their health, welfare and safety.

We found improvements were needed to the systems in place to assess the suitability of staff for their role.

We also found that improvements were needed to how the provider demonstrated that all staff were appropriately supported in relation to their roles and responsibilities.