This practice is rated as requires improvement overall. (Previous rating April 2016 – Good)

The key questions are rated as:

Are services safe? – Requires Improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Requires Improvement

Are services well-led? – Requires Improvement

We carried out an announced comprehensive inspection at Dr Anjum Zaidi and Partners on 18 September 2018 as part of our inspection programme.

At this inspection we found:

• The practice had ineffective systems to manage risk. This included safeguarding processes, safety alerts, recruitment, infection control, two-week wait referrals, staff vaccinations, medicines, fire safety and significant events.
• Systems had not been implemented effectively to ensure that all health and safety risk assessments were completed.
• Care and treatment was delivered according to evidence-based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients did not always find the appointment system easy to use and reported that they were not always able to access care when they needed it.

The areas where the provider must make improvements as they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way for patients.
• Establish effective systems to and processes to ensure good governance in accordance with the fundamental standards of care.
• Ensure staff employed receive such appropriate support, training, professional development, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.
• Ensure recruitment procedures are established and operated effectively.

The areas where the provider should make improvements are:

• Continue to monitor and improve on patient satisfaction scores with reception staff and healthcare professionals.
• Improve the uptake of cervical screening.
• Improve on the identification and support of carers.
• Take action to ensure confidentiality at the reception desk.  
• Improve staff awareness of Female Genitalia Mutilation (FGM)

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 at Dr Fergus McCloghry and Partners on 25 November 2015. 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.
• Risks to patients were assessed and well managed.
• 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.
• 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.

• Patients commented on difficulty with accessing appointments. This was reflected in patient survey data about accessibility to appointments.

• 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 and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

• Ensure staff undertake regular fire drill practice.

• Ensure appropriate electrical testing and checks are carried out to ensure all equipment is safe to use.

• Ensure that all staff have a completed appraisal in line with practice policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice