Dr George Kamil, 270 Upper Halliford Road, Shepperton.
Dr George Kamil in 270 Upper Halliford Road, Shepperton 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 and treatment of disease, disorder or injury. The last inspection date here was 6th July 2017
Dr George Kamil is managed by Dr George Kamil.
Contact Details:
Address:
Dr George Kamil The Surgery 270 Upper Halliford Road Shepperton TW17 8SY United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr George Kamil on 29 September 2106. Overall the practice is rated as Good.
Dr George Kamil was subject to a previous comprehensive inspection in January 2016 where the practice was rated as inadequate and was placed into Special Measures. Following our inspection of the practice in January 2016, the practice sent us an action plan detailing what they would do to meet the regulations. We undertook this second comprehensive inspection on 29 September 2016 to check that the provider had followed their action plan and to confirm that they now met the regulations. We found that the practice had made significant improvement since our previous inspection. The practice is now rated as good overall.
Our key findings across all the areas we inspected were as follows:
There was now an open and transparent approach to safety and an effective system in place for reporting and recording significant events. We saw evidence these were investigated and learning shared with staff.
Risks to patients were assessed and well managed. The practice were able to demonstrate they had carried out risk assessments. These included health and safety, fire safety, legionella and infection control audits.
Vaccines and prescriptions were now stored in line with national guidance. Patient Group Directions were used by the practice to allow nurses to administer medicines. Health Care Assistants were trained to administer vaccines and medicines against a patient specific prescription or direction from a prescriber.
The practice had improved their recruitment processes. We found at this inspection that appropriate recruitment checks and risk assessments had been undertaken prior to the employment of practice staff.
The practice had made attempts to recruit patients to join a patient participation group but had been unsuccessful in starting the group. However, since our last inspection the practice invited patients within the practice to complete the NHS Friends and Family test (FFT). The FFT gives every patient the opportunity to provide feedback on the quality of care they receive.
Policies and procedures were now tailored to the practice and had been reviewed to ensure they were relevant and up to date.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
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. Improvements were made to the quality of care as a result of complaints and concerns.
Patients said they usually found it easy to make an appointment and there was continuity of care, with urgent appointments available the same day.
The practice had facilities and equipment to treat patients and meet their needs.
Improvements had been made to fire safety. For example, a fire risk assessment had been completed in May 2016 by an independent company and new smoke seals had been fitted to all fire doors.
At this inspection we found evidence that all electrical equipment had been PAT tested in May 2016 and clinical equipment had been calibrated in May 2016.
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.
There was one area where the provider MUST make improvement:
Review and increase nursing provision in the practice to ensure there is sufficient capacity to meet the needs of the patient list.
The areas where the provider should make improvement are:
Provide better access to a female clinician.
Continue to promote the role of the patient participation group.
Consider how better to engage with patients to provide patient feedback in order to act on any findings.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Letter from the Chief Inspector of General Practice
We carried out an unannounced focused inspection at Dr George Kamil also known as Upper Halliford Medical Centre on 08 March 2016 due to concerns raised during an announced comprehensive inspection completed on 05 January 2016.
The focused inspection was to ensure that patient safety was not being compromised. Specifically we reviewed:-
If patients were receiving effective care.
If appropriate action and risk assessments had been completed following the results of a DBS check for a member of staff.
If patients had access to a practice nurse.
If the practice had reviewed access to a female clinician.
To further review medicines management.
This report only covers our findings in relation to those topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr George Kamil on our website at www.cqc.org.uk.
Our key findings across all the areas we inspected were as follows:
We reviewed 13 patients records and found patients were receiving effective care.
Following the results of a DBS check the practice had appropriately taken action and had completed a risk assessment.
The practice had employed a locum nurse for three hours a week.
The practice nurse was female and the practice was aware that further arrangements for patient choice if requesting a female GP was still to be actioned.
Medicines management was inadequate and the practice needed to review policies and procedures. For example, the storage of medicines and vaccines within the clinical fridges were not being monitored correctly.
The ratings for this report are taken from the initial comprehensive inspection carried out on the 5 January 2016. The findings from this focused inspection did not the affect the ratings or the actions previously required from the provider.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr George Kamil on 29 September 2106. Overall the practice is rated as Good.
Dr George Kamil was subject to a previous comprehensive inspection in January 2016 where the practice was rated as inadequate and was placed into Special Measures. Following our inspection of the practice in January 2016, the practice sent us an action plan detailing what they would do to meet the regulations. We undertook this second comprehensive inspection on 29 September 2016 to check that the provider had followed their action plan and to confirm that they now met the regulations. We found that the practice had made significant improvement since our previous inspection. The practice is now rated as good overall.
Our key findings across all the areas we inspected were as follows:
There was now an open and transparent approach to safety and an effective system in place for reporting and recording significant events. We saw evidence these were investigated and learning shared with staff.
Risks to patients were assessed and well managed. The practice were able to demonstrate they had carried out risk assessments. These included health and safety, fire safety, legionella and infection control audits.
Vaccines and prescriptions were now stored in line with national guidance. Patient Group Directions were used by the practice to allow nurses to administer medicines. Health Care Assistants were trained to administer vaccines and medicines against a patient specific prescription or direction from a prescriber.
The practice had improved their recruitment processes. We found at this inspection that appropriate recruitment checks and risk assessments had been undertaken prior to the employment of practice staff.
The practice had made attempts to recruit patients to join a patient participation group but had been unsuccessful in starting the group. However, since our last inspection the practice invited patients within the practice to complete the NHS Friends and Family test (FFT). The FFT gives every patient the opportunity to provide feedback on the quality of care they receive.
Policies and procedures were now tailored to the practice and had been reviewed to ensure they were relevant and up to date.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
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. Improvements were made to the quality of care as a result of complaints and concerns.
Patients said they usually found it easy to make an appointment and there was continuity of care, with urgent appointments available the same day.
The practice had facilities and equipment to treat patients and meet their needs.
Improvements had been made to fire safety. For example, a fire risk assessment had been completed in May 2016 by an independent company and new smoke seals had been fitted to all fire doors.
At this inspection we found evidence that all electrical equipment had been PAT tested in May 2016 and clinical equipment had been calibrated in May 2016.
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.
There was one area where the provider MUST make improvement:
Review and increase nursing provision in the practice to ensure there is sufficient capacity to meet the needs of the patient list.
The areas where the provider should make improvement are:
Provide better access to a female clinician.
Continue to promote the role of the patient participation group.
Consider how better to engage with patients to provide patient feedback in order to act on any findings.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr George Kamil on 29 September 2016. The practice was rated as requires improvement for providing responsive services and good for providing safe, effective, caring and well led services. The overall rating for the practice was good. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Dr George Kamil on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 12 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 29 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Our key findings were as follows:
The practice had negotiated to increase the nurse working hours from 16 hours per month to 28 hours per month.
The practice had secured a female locum GP to provide two regular sessions per month on alternate Mondays. They were still in the process of recruiting a more regular female GP.
In addition, the practice had improved patient engagement and had sought feedback from patients. The practice had actively promoted the patient participation group through a poster campaign in the waiting room. They had successfully recruited two new members to the PPG. The practice had undertaken a patient survey in January 2017 to gain feedback from patients. 100 forms were given out and the practice received 70 back. Patient feedback included;
Increasing GP numbers to improve access to same day appointments.
Request for text communication for appointment reminders and test results.
Limited availability of a female GP.
In response to the feedback, the practice had secured retention funding for a GP for four sessions per week, to improve access to appointments. They were unable to offer text reminders with their current software system and were looking to recruit a female GP on a permanent contract.
We found the practice had made improvements since our last inspection. Using information provided by the practice we found the practice was now meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of responsive services.
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