Archived: Dr Moujaes & Dr Mannan

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions Safe, Effective and Well led. The service was previously inspected in January 2016 and rated good.

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, with key question well led and older people population group rated outstanding.

We rated the practice as outstanding for providing well-led services because:

• The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
• The practice was committed to working with the local community and the primary care network to ensure clinical assessments, health education and clinical education was promoted and shared to ensure effective, consistent care and treatment was provided to patients.
• There was a focus of working with the local and wider community to foster, promote and deliver high quality effective integrated care.
• A continuous cycle of performance monitoring and improvement was established so patients received effective care and treatment that met their need.

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

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• The practice recognised the different challenges vulnerable and older people faced and implemented strategies of monitoring and direct support to make sure these people received effective care, treatment and support quickly.
• The areas identified at the previous inspection in January 2016, where improvements could be made had all been addressed.

We saw areas of outstanding practice including:

• The care coordinator role, which provided a direct a point of contact for patients identified as vulnerable and older and who monitored unplanned admissions to hospital and undertook post discharge reviews. These patients were referred to community health support services and signposted to care support networks such as Dementia Connect or Carers’ Link Lancashire.
• Clinicians were allocated specific time (Quality Sessions) to undertake reviews of patient registers to promote health prevention.
• There was a commitment to providing health education to people living in the local communities.
• The practice had been proactive in their approach to ensuring effective continuous professional development for GPs in East Lancashire.
• The patient waiting area displayed a range of QR (Quick Response) codes that patients could scan on their smart phones and this would provide information on how to self-care for different ailments.

Whilst we found no breaches of regulations, the provider should:

• Maintain a written log of vaccines with expiry dates held in the fridges.
• Record the informal monitoring and review of performance of those staff working in advanced roles in order to be assured staff are working within their competencies.
• Continue to take action to improve achievements for cervical screening

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