We carried out a review of the data available to us about Dr Mirza and 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 Mirza and Partners, you can give feedback on this service.
We carried out an announced inspection at Dr Mirza and Partners on 7 June 2022. Overall, the practice is rated as Good.
The ratings for each key question are
Safe - Good
Effective - Good
Caring – Good (rating awarded at last inspection January 2017)
Responsive – Good (rating awarded at last inspection January 2017)
Well-led - Good
The provider was last inspected January 2017 and was rated Good overall and in all of the key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Mirza and Partners on our website at www.cqc.org.uk
Why we carried out this inspection
We undertook this inspection as part of a random selection of services rated good and outstanding to test the reliability of our new monitoring approach. This included focusing on the key questions safe, effective and well led. Caring and responsive were not inspected.
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
Our findings
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as Good overall
We found that:
Whilst we found no breaches of regulations, the provider should:
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
This is a focused desk top review of evidence supplied by Dr Counsell & Partners for one area within the key question safe. We found the practice to be good in providing safe services. Overall the practice is rated as good.
The practice was previously inspected on 10 November 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection the practice was rated good overall. However, within the key question safe, one area was identified as requiring improvement because the practice was not meeting the legislation at that time.
Regulation 19 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Fit and proper persons employed:
The practice has submitted to CQC, a range of documents which demonstrate they are now meeting the requirements of Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Greenhalgh and partners on 10 November 2015. Overall the practice is rated as good. Specifically, we found the practice to require improvement for providing safe services and good for providing effective, responsive, caring and well led services.
Our key findings across all the areas we inspected were as follows:
The area where the provider must make improvements is:
The provider must assess the different responsibilities and activities of staff to determine if they are eligible for a Disclosure and Barring Service (DBS) check. Where the decision has been made not to carry out a DBS check on staff, the practice should be able to give a clear rationale as to why.
In addition the provider should:
Take action to improve the incident management system to ensure learning and actions identified from significant incidents are embedded and sustained.
Take action to improve the systems relating to the security and disposal of controlled medicines.
Take action to improve staff training and appraisal systems to ensure all staff are effectively supported in these areas.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Chief Inspector of General Practice
We saw that the practice rooms were on the ground floor with adequate access for people with limited mobility. The practice was clean with ample seating for patients. The practice provided patients with information about the services available through leaflets available in the waiting area.The practice leaflet provided patents with information about how to raise a concern or complaint.
The practice had electronic patient records in place to record the contact patients had with the service.Consent was recorded in the electronic notes when any minor surgical procedure had been carried out.
Procedures where in place documenting communication processes and information exchange with other healthcare professionals and services. This meant that the care of the people who use the service was coordinated.The practice had an up to date recruitment policy in place. The practice had a range of policies and procedures in place which supported the safe running of the service.