Dr Ashraf Botros in Southall is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 14th February 2018
Dr Ashraf Botros is managed by Dr Ashraf Botros.
Contact Details:
Address:
Dr Ashraf Botros 276 Lady Margaret Road Southall UB1 2RX United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Ashraf Botros on 25 May 2017. The overall rating for the practice was good. However, within the key question of safe areas were identified as 'requires improvement' as the practice was not meeting the legislation for providing safe care and treatment. The practice was issued a requirement notice under Regulation 12, safe care and treatment. The full comprehensive inspection on 25 May 2017 can be found by selecting the ‘all reports’ link for the Dr Ashraf Botros on our website at www.cqc.org.uk. This inspection was a focused follow-up inspection carried out on 23 January 2018 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified at our previous inspection on 25 May 2017. This report covers our findings in relation to those requirements and also any additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings are as follows:
The practice had implemented an effective system to monitor patients on high risk medicines.
The practice had reviewed their emergency medicine provisions and a log of checks had been implemented for all medicines and emergency equipment.
In addition improvements had been made in the following areas we had recommended:
The practice had implemented a system to ensure that results were received for all samples sent for the cervical screening programme.
The practice had taken steps to improve uptake for national bowel and breast cancer screening programmes and they had taken steps to improve childhood immunisation uptake.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Ashraf Botros on 22 March 2016. The practice was rated as good for providing caring, responsive and well-led services, and requires improvement for providing safe and effective services. The overall rating for the practice was requires improvement. We issued two requirement notices to the provider in respect of safe care and treatment and fit and proper persons employed.
The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Dr Ashraf Botros on our website at www.cqc.org.uk.
This inspection was an announced comprehensive follow up inspection on 25 May 2017 to check that action had been taken to comply with legal requirements and assess what improvements had been made. We found improvements had been made however further improvement was necessary in relation to providing safe services. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
The practice had clearly defined and embedded systems to minimise risks to patient safety, although there were shortfalls in relation to high risk medicine monitoring and dealing with medical emergencies.
Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
Patients we spoke with 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 practice proactively sought feedback from staff and patients, which it acted on.
The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
The areas where the provider must make improvement are:
Ensure there is an effective system in place to monitor patients on high risk medicines.
Review emergency medicine provisions and ensure a log of checks is in place for all medicines and emergency equipment.
In addition the provider should:
Implement a system to check that results are received for all samples sent for the cervical screening programme.
Consider ways to improve uptake for national bowel and breast cancer screening programmes.
Consider ways to improve childhood immunisation rates for children up to two years of age.
Consider ways to improve patient satisfaction with nurse consultations.
Review provisions for gender specific GP requests.
Develop a formal strategy to deliver the practice vision.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at 8.30am on 22 March 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 generally assessed and well managed. However, the practice did not have an Automated External Defibrillator (AED) and they had not carried out a risk assessment to ensure risks to patients are minimised. Disclosure and Barring Services (DBS) checks were not always specific to the practice and there was no system in place to monitor prescriptions given out from the doctors bag.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment. However, staff had not received formal training in the Mental Capacity Act 2005.
Data showed patient outcomes were comparable to the locality and nationally. Although some audits had been carried out, we saw no evidence that audits were driving improvement in performance to improve patient outcomes.
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.
Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
The practice had adequate facilities and was 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 provider was aware of and complied with the requirements of the Duty of Candour.
The areas where the provider must make improvement are:
Update Disclosure and Barring Services (DBS) checks on staff to ensure they are specific to the practice
Carry out a risk assessment of the practice decison not to provide immediate access to a Automated External Defibrillator (AED) to ensure risks to patients are minimised.
Ensure there is a system in place to monitor the use of prescription pads.
In addition the provider should:
Ensure patients on the learning disabilities register are reviewed annually and have completed care plans.
Implement a programme of clinical audit and re-audit to drive improvements in patient outcomes.
Ensure staff receive formal training in the Mental Capacity Act 2005.
Take action to proactively identify patients who are also carers.
Ensure translation services are advertised in the patient waiting area.
Implement a robust strategy to deliver the practice vision.
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