Background to this inspection
Updated
25 September 2018
Dr Kaushikkumar Karia also known as Aspri Medical Centre is situated at 1-3 Long Elmes, Harrow Weald, Middlesex, HA3 5LE. The practice provides primary medical services through a Personal Medical Services (PMS) contract to approximately 5,400 people living in the local area. The practice is part of the NHS Harrow clinical commissioning group (CCG).
The practice team consists of a lead male GP, a male salaried GP, two female salaried GPs (23 sessions), a practice manager, two nurses, a phlebotomist and five non-clinical staff.
The practice opening hours are 8am to 6pm Monday to Friday. Extended opening hours are available Wednesday morning from 7.30am and Thursday evening to 8pm.
For out of hours care patients are directed to the local out of hours provider alternatively they can contact the NHS 111 service.
Services provided include; chronic disease management, minor surgery, cryotherapy, family planning, phlebotomy, antenatal and postnatal care.
The practice is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, family planning, treatment of disease, disorder or injury, maternity and midwifery services and surgical procedures.
Updated
25 September 2018
This practice is rated as Good overall. (Previous rating August 2016 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced inspection at Dr Kaushikkumar Karia 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 could access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
Patient on-line Registration Success. The practice increased online registrations from 2.4% in June 2016 to 23.1% in April 2017 which was significantly above the NHS England target of 10%. The practice was contacted by NHSE as they were looking to use the practice as a case study seeking permission to showcase the practice achievement and how they managed the success. In addition, since April 2017 online registration had increased further to 45% and we saw evidence that patients had made increasing use of the online service to order repeat prescriptions, access their care records and better manage their health.
The areas where the provider should make improvements are:
- Continue to improve Quality and Outcomes Framework (QOF) performance particularly in relation to diabetes and hypertension indicators.
- Continue to improve cervical screening and childhood immunisation uptake to bring in line with national targets.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.
Working age people (including those recently retired and students)
Updated
25 September 2018
People experiencing poor mental health (including people with dementia)
Updated
25 September 2018
People whose circumstances may make them vulnerable
Updated
25 September 2018