Drs Pattni & Ahmad are the registered provider of Yardley Medical Centre. The partnership registered with CQC on 9 March 2018. The practice was previously inspected on 27 March 2018. The overall rating was good with a requires improvement rating for providing safe services.

Following our inspection on 5 June 2018, this practice is still rated as Good overall.

The key question Safe is rated as:

Are services safe? – Good

We carried out an announced focused inspection at Yardely Medical Centre on 5 June 2018 to follow up on breaches of regulations we found during our March 2018 inspection. During this inspection in June 2018, we inspected the Safe key question and followed up on any Musts and Shoulds that were identified in our March 2018 inspection.

At this inspection we found:

The provider had taken the necessary action to improve their governance processes.

• We saw the practice provided non-medical prescribers with appropriate support and clinical supervision and kept records to demonstrate this.
• The practice ensured staff received appropriate induction and they collected appropriate staff immunisation status information to keep people safe.
• The practice had improved their security and monitoring processes for prescription stationery and assured us they would be able to effectively monitor all prescription stationery.
• The practice had also improved their process for using patient specific directions to ensure a GP gave clear authorisation to a healthcare assistant before they could administer a vaccine.
• The provider had also begun to collect patient feedback to assess how patients were responding to recent changes, and to identify further areas of improvement. The provider demonstrated they acted promptly to patient feedback and had made changes to their appointments system in response to feedback received.
• The practice provided us with data that showed they had received 42 responses from patients since May 2018. Of the 42 responses, 39 were positive and showed patient satisfaction had improved in areas where previously patients had expressed dissatisfaction. Patients commented staff were friendly, helpful and patients felt listened to, and their overall experience of the practice had improved. The practice informed us they were monitoring trends in the feedback, although had not yet started to keep formal records of the results of patient feedback.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Drs Pattni & Ahmad are the registered provider of Yardley Medical Centre. The partnership registered with CQC on 9 March 2018. The practice was previously inspected on 9 November 2016 under the previous provider Dr Bhikhu Pattni. The overall rating was requires improvement.

This practice is now rated as Good overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

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 – Good

People with long-term conditions – Good

Families, children and young people – Good

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

People whose circumstances may make them vulnerable – Good

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

We carried out an announced inspection at Yardley Medical Centre on 27 March 2018 as part of our inspection programme.

At this inspection we found:

• The provider had made significant improvements to the practice in the past three months to improve the quality of care they were delivering to patients. Patients we spoke to and comments we received from patients also reflected this.
• The practice had 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 However, some systems were not fully established or embedded.
• 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.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider must make improvements are:

• The provider must establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• The provider should review the management of prescription stationary to ensure a clear audit trail.
• The provider should consider patient feedback in order to identify areas for further improvement.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice