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Dr Anjum Zaidi and Partners Requires improvement Also known as The Northwick Surgery

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 January 2020

We carried out an announced comprehensive inspection at Dr Anjum Zaidi and Partners on 21 November 2019 as part of our inspection programme. At this inspection we followed up on breaches of regulations identified at a previous inspection on 18 September 2018.

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 requires improvement overall.

We rated the practice as requires improvement for providing safe services because:

  • The practice did not have clear systems and processes to keep patients safe.
  • Appropriate standards of cleanliness and hygiene were not all met.
  • The practice did not always have systems for the appropriate and safe use of medicines.
  • The practice did not have an effective system to learn and make improvements when things went wrong.

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

  • Effective monitoring was required to demonstrate leaders understood the challenges to quality and sustainability at all levels.

  • Effective monitoring was required to demonstrate leaders understood the challenges to quality at all levels.

  • The overall governance arrangements were ineffective.

  • The practice did not have clear and effective processes for managing risks, issues and performance.

We rated the practice as good for all population groups except for the Working Age population group which was rated requires improvement because:

  • The performance for cervical screening was significantly below national average.

We rated the practice as good for providing effective, caring and responsive services because:

  • 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.

We saw an area of notable practice. Following identification of a patient with an infectious disease, the practice acted to ensure all patients living at the residence received the disease specific vaccine. This resulted in 29 patients receiving the vaccination and a referral to the infectious diseases team.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Monitor and improve on childhood immunisation uptake.
  • Review the whistleblowing policy to ensure it is in line with the NHS Improvement Raising Concerns (Whistleblowing) Policy.

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

Inspection areas

Safe

Requires improvement

Effective

Good

Caring

Good

Responsive

Good

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good