Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Jahan Mahmoodi (also known as Hazeldene Medical Centre) on 11 January 2017. 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 an effective system in place for reporting and recording significant events.
• The practice had clearly defined and embedded systems to minimise risks to patient’s safety.
• 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 felt the practice offered a good service and that staff were caring, friendly and supportive and treated them with dignity and respect.
• 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.
• The majority of patients found it easy make an appointment with a GP with urgent appointments available the same day.
• The practice had adequate facilities and was equipped to treat patients and meet most of their needs, although there were some areas that required refurbishment or adaption.
• 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 should make improvement are;

• Review the arrangements for the disposal of sharps used to administer cytostatic medicines.
• Continue to assess and identify patients with Atrial Fibrillation (AF) to ensure these patients receive appropriate treatment.
• Continue to monitor QOF indicators where there are high exception reporting rates to ensure that patients receive appropriate treatment.
• Continue to encourage patients to attend cytology screening and child immunisation programme.
• Review current audit processes in relation to patient consent.
• Continue to monitor patient feedback including appointment access

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice