Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Haiderian Medical Centre on 25 March 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring, safe and responsive services. It was also good for providing services for the care provided to older people, people with long term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients said they were treated with compassion, dignity and respect and that 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. For example same day urgent appointments were available.
• 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.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection 25 March 2015 – Good)

The key questions are rated as:

Are services safe? - Good

Are services effective? - Good

Are services caring? - Good

Are services responsive? - Outstanding

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People - Outstanding

People with long-term conditions - Good

Families, children and young people - Outstanding

Working age people (including those recently retired and students - Good

People whose circumstances may make them vulnerable - Outstanding

People experiencing poor mental health (including people with dementia - Good

We carried out an announced inspection at Haiderian Medical Centre on 29 March 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Patients said they found it easy to make an appointment with a named GP and that there was continuity of care. For example same day urgent appointments were available.
• The practice has a strong community involvement
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw areas of outstanding practice in the responsive provision of extra services and support to all of the population groups. For example:

• The practice embraced social prescribing, hosting a regular afternoon tea party, aimed at targeting social isolation and loneliness in the elderly.
• The practice had run a workshop for parents of children under 5 years old who had presented frequently with their children, for minor ailments that would have been suited to home care. GPs delivered educational information on the three most common minor ailments seen at the practice e.g. cough, fever and ear pain.
• The practice had run a healthy lifestyle workshop for people eligible for the NHS Health Checks.
• The practice had also worked with a private company that specialised in Virtual Reality (VR) use in Healthcare. Using their experience the practice was able to use VR for therapeutic purposes, such a relaxation for the patient and respite for the carers.

There were areas where the Provider could make improvements and the should:

• Consider improving the way in which carers are identified so as to increase the numbers who support can be offered to.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice