The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Usman Akbar

Overall: Good read more about inspection ratings

Bluebell Building, Barkerend Health Centre, Barkerend Road, Bradford, West Yorkshire, BD3 8QH (01274) 663553

Provided and run by:
Dr Usman Akbar

Important: This service is now registered at a different address - see new profile

All Inspections

16/10/2019

During a routine inspection

We carried out an announced comprehensive inspection at Dr Usman Akbar on 16 October 2019.

In February 2019, Dr Usman Akbar became the new provider of GP services at a location which was inspected by the Care Quality Commission on 3 July 2018. The location which was known as Hillside Bridge Surgery had been rated as inadequate and placed in special measures. Dr Usman Akbar was chosen as the preferred provider to manage and improve this service through a process managed by Bradford City Clinical Commissioning Group.

We carried out an announced comprehensive inspection of Dr Usman Akbar on 16 October 2019. During the inspection, we paid particular attention to the concerns and breaches of regulation 12: Safe Care and Treatment and Regulation 17: Good Governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. A warning notice had been issued to the previous provider and a further inspection undertaken on 19 September 2018. When Dr Usman Akbar was awarded the contract to manage the Hillside Bridge Surgery location, numerous concerns had not been addressed by the previous provider. This included, but was not limited to, concerns regarding the health and safety of patients, the lack of appropriate systems to safeguard children and vulnerable adults from abuse, the management of medicines, prescription stationery, Disclosure and Barring service (DBS) checks and the management of infection prevention and control.

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 and good for all population groups.

We found that:

  • At this inspection on 16 October 2019, we saw that all issues and breaches of legislation, which had been previously noted at the Hillside Bridge location had been acted upon. The new provider Dr Usman Akbar, had also responded to patient feedback and identified further areas for improvement within the service.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm. Staff told us they felt safe working at the practice and were supported by visible and approachable leaders.
  • Patients received effective care and treatment that met their needs. Outcomes for patients were regularly monitored.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care. We were told of several examples where staff went ‘the extra mile’ to support patients.
  • The practice organised and delivered services to meet and respond to patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, compassionate, person-centre care.

We saw areas of outstanding practice.

In a hard to reach population which had suffered with a recent measles outbreak, for 2018/2019 the practice had exceeded the World Health Organisation based national target of 95% (the recommended standard for achieving herd immunity) for all four childhood immunisation uptake indicators and uptake was 100%.

The practice had increased their engagement with patients. A junior patients’ newsletter had been developed by the patient engagement lead to encourage younger patients to become involved in the practice. It included health tips, word searches and a competition. Younger patients could complete a mock ‘prescription’ whilst waiting with their parent or carer.

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

06 June 2018

During a routine inspection

This practice is rated as Good overall. (Previous inspection 14/11/2014 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Dr Usman Akbar on 6 June 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines and local and national priorities.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients told us they found the new telephone and appointment system easy to use and this had significantly improved their ability to access care when they needed it.
  • There was a focus on continuous learning and a drive towards improvement at all levels of the organisation.

We saw areas of outstanding practice:

Unverified data for 2017/2018 showed that on the day of inspection 90% of eligible patients at the practice had attended for cervical screening in the last five years. Patients were contacted by the practice champion who encouraged them to attend, additional letters were sent on pink paper and appointments were offered with the practice nurse for patients to discuss the screening and talk through any concerns. The practice had also liaised with NHS England who were interested in sharing how the practice had achieved the results so that they could be shared with others.

The practice had increased their engagement with patients. A junior patients’ newsletter had been developed by the patient engagement lead to encourage younger patients to become involved in the practice. It included health tips, word searches and a competition.

The areas where the provider should make improvements are:

  • Continue to review and improve the number of health checks offered to and accepted by carers.
  • Review and improve their system for managing Medicines & Healthcare products Regulatory Agency (MHRA) alerts.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice.

18 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection visit on 18 November 2014 and the overall rating for the practice was good. The inspection team found after analysing all of the evidence that the practice was safe, effective, caring, responsive and well led.

Our key findings were as follows:

  • The practice provided good, safe, responsive and effective care for all population groups in the area it serves.
  • All areas of the practice were visibly clean.
  • Where incidents had been identified relating to safety, staff had been made aware of the outcome and action taken where appropriate, to keep patients and staff safe.
  • Patients received care according to professional best practice clinical guidelines. The practice had regular information updates, which informed staff about new guidance to ensure they were up to date with best practice.
  • The service was responsive and ensured patients received accessible, individual care, whilst respecting their needs and wishes.
  • The service was well led and there were positive working relationships between staff and other healthcare professionals involved in the delivery of service.

We saw several areas of outstanding practice these included:

  • The practice has commissioned the Pharmacy First Scheme for minor ailments to ease patient access to appointments. (Patients who do not pay for their prescriptions can visit the pharmacy with specific symptoms, such as conjunctivitis, and be offered advice and appropriate medicines. This is a free service to these patients).
  • The practice is working with the local hospital to screen patients for Hepatitis B & C.
  • The practice is opening on Saturday mornings during the winter months to help reduce hospital pressures.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice