The Care Quality Commission
  • Doctor
  • GP practice

Drs Mirza, Sukhani and Partners

Overall: Requires improvement read more about inspection ratings

The Surgery, 30 The Green, Hockwell Ring, Luton, Bedfordshire, LU4 9NN (01582) 505355

Provided and run by:
Drs Mirza, Sukhani and Partners

All Inspections

During an assessment under our new approach

Date of Assessment: 24 February 2025 to 7 April 2025

Drs Mirza, Sukhani and Partners is a GP practice that delivers services to around 5,804 patients under a contract held with NHS England. It operates from 2 sites in Luton. The main site is a single storey building at The Surgery, 30 The Green, Hockwell Ring, Luton LU4 9NN. Britannia House Surgery is the branch site which is on the ground floor of an industrial estate at Unit 14 Britannia Estate, Leagrave Road, Luton LU3 1RJ. This assessment included a site visit to both locations.

The demographics of the people using the service, the context the service was working within and how this impacted service delivery was considered for this assessment. We carried out this assessment in line with our assessment priorities.

Overall, the practice is now rated as requires improvement, with the key questions safe and well-led rated as requires improvement and caring, effective and responsive rated as good. This was because the practice did not always provide care in a way that kept people safe and protected from avoidable harm; and because the service was not always led in a way that supported the delivery of high quality care, learning and innovation.

We found breaches of regulation in relation to safe care and treatment and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment. Where relevant, further commentary is provided in the quality statements section of this report.

28 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs Mirza, Sukhani and Partners on 28 November 2014.

The practice achieved an overall rating of Good. This was based on our rating of all of the five domains. Each of the six population groups we looked at achieved the same good rating.

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.
  • 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.
  • 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.
  • 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.

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

Importantly the provider should

  • Carry through the practice plan to replace the remaining carpeted areas with vinyl flooring
  • Ensure all staff are familiar with fire evacuation procedures
  • Ensure multidisciplinary team meetings are arranged to discuss and provide for the needs of the palliative care patient

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice