Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Yahaya Mohammed on 27 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Dr Yahaya Mohammed on our website at www.cqc.org.uk

This inspection was an announced focused inspection carried out on 13 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 27 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

During our inspection on 13 June 2017, our key findings were as follows:

• There was evidence that lessons learned were the subject of whole practice discussion and review in meetings.

• Risks to patients who used services were identified and assessed, and actions taken to mitigate risks were sufficient.

• There was a new recruitment policy and induction process for all newly recruited staff.

• The arrangements for managing medicines, including emergency medicines and vaccines, in the practice kept patients safe. Medicines and blank prescriptions were stored and kept securely and there was a procedure in place to manage refrigerated medicines.

• All staff had received basic life support training. There was a written record of regular defibrillator and oxygen checks.

• Mandatory training was up-to-date and planned for all staff.

• An infection control audit had been conducted and actioned.

• There was evidence of engagement with patients and their involvement in improving services.

• Quality and Outcomes Framework data from 2015/16 showed patient outcomes had improved from the previous year.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

• Continue to improve patient outcomes in relation to national QOF data.
• Continue to ensure that all staff are up-to-date in mandatory training.

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 Yahaya Mohammed on 27 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Dr Yahaya Mohammed on our website at www.cqc.org.uk

This inspection was an announced focused inspection carried out on 13 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 27 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

During our inspection on 13 June 2017, our key findings were as follows:

• There was evidence that lessons learned were the subject of whole practice discussion and review in meetings.

• Risks to patients who used services were identified and assessed, and actions taken to mitigate risks were sufficient.

• There was a new recruitment policy and induction process for all newly recruited staff.

• The arrangements for managing medicines, including emergency medicines and vaccines, in the practice kept patients safe. Medicines and blank prescriptions were stored and kept securely and there was a procedure in place to manage refrigerated medicines.

• All staff had received basic life support training. There was a written record of regular defibrillator and oxygen checks.

• Mandatory training was up-to-date and planned for all staff.

• An infection control audit had been conducted and actioned.

• There was evidence of engagement with patients and their involvement in improving services.

• Quality and Outcomes Framework data from 2015/16 showed patient outcomes had improved from the previous year.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

• Continue to improve patient outcomes in relation to national QOF data.
• Continue to ensure that all staff are up-to-date in mandatory training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We spoke with four patients and one family member, as a carer. We spoke with staff, including the assistant practice manager and Dr Mohammed.

There was great deal of praise for the surgery and the doctors. Comments we heard from patients included, “can’t fault this surgery”, “… not a sausage factory” and “they take my worries seriously for example about X-rays for (my) small children”. One patient said, “the doctor is a nice man who listens”, another said,” I was in trouble and very depressed … (doctor’s words) … lifted me from my depression”.

There were systems in place to ensure that patients were protected from the risk of abuse.

Staff received appropriate professional development, training and appraisal.

There were systems in place to ensure that the quality of service that patients received was monitored.