Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Dr Azim Khan on 28 April 2016. During that inspection we found that not all staff who undertook chaperone duties had received formal training to carry out the role, and the practice had not obtained a disclosure and barring service (DBS) check for one member of staff. Also, effective systems were not in place to oversee and improve the quality and safety of the services provided including the prevention and control of infection. Not all areas of the premises were clean and hygienic.

In view of the above the practice was rated as requires improvement for providing safe and well-led services.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Azim Khan on our website at www.cqc.org.uk.

After the comprehensive inspection, the practice told us what action they had, and were taking to meet the legal requirements in relation to the breaches.

We undertook a focused inspection on 16 November 2016 to check that the provider had completed the required action, and now met the legal requirements. We visited the practice as part of this inspection.

This report covers our findings in relation to the above requirements. This inspection found that the provider had taken appropriate action to meet the legal requirements.

• Staff who undertook chaperone duties had received 

  formal training to carry out the role, and the practice had obtained a disclosure and baring service check for all staff. (These checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with vulnerable children or adults).

• Systems were in place to manage the prevention and control of infection, and to ensure the premises were kept clean and hygienic.

• Effective systems were in place to oversee and improve the quality and safety of the services provided, and to reduce risks to patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Dr Azim Khan on 28 April 2016. During that inspection we found that not all staff who undertook chaperone duties had received formal training to carry out the role, and the practice had not obtained a disclosure and barring service (DBS) check for one member of staff. Also, effective systems were not in place to oversee and improve the quality and safety of the services provided including the prevention and control of infection. Not all areas of the premises were clean and hygienic.

In view of the above the practice was rated as requires improvement for providing safe and well-led services.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Azim Khan on our website at www.cqc.org.uk.

After the comprehensive inspection, the practice told us what action they had, and were taking to meet the legal requirements in relation to the breaches.

We undertook a focused inspection on 16 November 2016 to check that the provider had completed the required action, and now met the legal requirements. We visited the practice as part of this inspection.

This report covers our findings in relation to the above requirements. This inspection found that the provider had taken appropriate action to meet the legal requirements.

• Staff who undertook chaperone duties had received 

  formal training to carry out the role, and the practice had obtained a disclosure and baring service check for all staff. (These checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with vulnerable children or adults).

• Systems were in place to manage the prevention and control of infection, and to ensure the premises were kept clean and hygienic.

• Effective systems were in place to oversee and improve the quality and safety of the services provided, and to reduce risks to patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We found the service to be welcoming with friendly staff. Information was displayed for people using the service, including health promotion, access to support services, information about the practice and other services available. There was a touch screen booking in facility in the waiting area and appointments could be made on line using the practice website. Translations facilities were available if required.

We spoke with seven patients who all spoke highly of services provided to them. We also spoke with staff who said they enjoyed working in the practice and felt supported in their work.

Patients' needs were assessed and care and treatment was planned and delivered in line with their individual wishes. One patient said, "I've always been treated well here." Another patient said, "All the staff; the doctor, nurses and receptionists are very courteous."

Staff had received training in safeguarding children and were knowledgeable about safeguarding vulnerable adults procedures. They were aware of the systems to refer safeguarding concerns to ensure that patients were protected from risks of harm.

We found that space at the premises was restricted and presented some challenges to both staff and patients. The provider had made some adaptations to enable disabled people to have equal access.

We found that improvements were required to ensure confidentiality of record keeping. The practice manager agreed to address this without delay.