The Care Quality Commission
  • Doctor
  • GP practice

Dr S A Mushtaq & Partners

Overall: Good read more about inspection ratings

Wolverton Health Centre, Gloucester Road, Wolverton, Milton Keynes, Buckinghamshire, MK12 5DF (01908) 222954

Provided and run by:
Dr S A Mushtaq & Partners

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr S A Mushtaq & Partners on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr S A Mushtaq & Partners, you can give feedback on this service.

24 July 2019

During an annual regulatory review

We reviewed the information available to us about Dr S A Mushtaq & Partners on 24 July 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.

21 February 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 Dr S A Mushtaq & Partners on 5 July 2016. The overall rating for the practice was requires improvement as breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to;

  • Regulation 16 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – receiving and acting on complaints.
  • Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – good governance.

From the inspection on 5 July 2016, the practice were told they must:

  • Ensure a robust system is implemented to ensure that complaints are managed appropriately.
  • Ensure records are maintained securely in relation to governance arrangements, including but not limited to records for complaints received and action taken, infection control audits and personnel files.

In addition, the practice were told they should:

  • Develop systems to identify and support more carers in their patient population.
  • Continue to monitor the results from the patient survey and establish an action plan for areas which are identified as requiring improvement.

The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Dr S A Mushtaq & Partners on our website at www.cqc.org.uk.

This inspection was a focused follow up carried out on 21 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 5 July 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • Systems had been improved to ensure that a consistent approach was adopted to handling complaints and that appropriate action was taken in response to complaints received. Records of complaints received and action taken were kept securely. We saw that complaints were shared with staff and improvements made to reduce the risk of recurrence.
  • The practice had improved governance arrangements to ensure that records were securely maintained and managed appropriately.
  • The practice had identified 112 patients as carers (less than 1%) and was actively working to identify and support more carers in its population. The practice had appointed a Carers Champion to work as a key point of contact for carers and to ensure support was available. They regularly liaised with the local charity for carers to provide up to date support and advice to patients.
  • The practice regularly monitored national patient survey results and worked towards improving practice performance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

5 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr S A Mushtaq & Partners on 5 July 2016. We previously inspected the practice in February 2015 and rated them as requiring improvement. Following our inspection on 5 July 2016 overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • 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. However, the practice did not demonstrate a robust and consistent approach to managing complaints. We saw that patients were encouraged to give feedback but evidence to support action taken in response to complaints was variable.
  • 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 provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

  • The practice was classed as a POCT (point of care testing) hub practice within the locality, and alongside six other practices was offering patients additional services not always found within a GP setting. For example, Dr S A Mushtaq & Partners was able to offer D-dimer and deep vein thrombosis (DVT) testing for patients. (D-dimer tests are used to rule out the presence of a blood clot).

The area where the provider must make improvement is:

  • Ensure a robust system is implemented to ensure that complaints are managed appropriately.
  • Ensure records are maintained securely in relation to governance arrangements, including but not limited to records for complaints received and action taken, infection control audits and personnel files.

The areas where the provider should make improvement is:

  • Develop systems to identify and support more carers in their patient population.
  • Continue to monitor the results from the patient survey and establish an action plan for areas which are identified as requiring improvement.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

25 February 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr S A Mushtaq and Partners on 25 February 2015. Overall the practice is rated as requires improvement.

Specifically, we found the practice to require improvement for providing safe and well led services and good for providing effective, caring and responsive services. It was also good for providing services for each of the population groups we looked at.

Our key findings across all the areas we inspected were as follows:

  • 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 identifying significant events and disposal of out of date equipment.
  • 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.
  • The practice had established good links with outside agencies including the local hospice and community services team
  • 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. The practice proactively sought feedback from staff and patients, which it acted on.
  • The practice had a good relationship with the patient participation group.

The areas where the provider must make improvements are:

  • Document all actions taken when there has been a system or process failure and consider recording as a significant event so actions can be identified to prevent recurrence.
  • Dispose of the out of date oxygen cylinder to prevent the risk of it being used in an emergency.

In addition the provider should:

  • Implement a system for checking and recording the stock held in the GP bag used for home visits.
  • Complete the business continuity plan and make it accessible to all staff.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice