Archived: Dr Fatma El-Sayed

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Fatma El-Sayed known locally as Abingdon Family Health Care Centre on 12 April 2016. 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 a system in place for reporting and recording significant events. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. However, the records made of such events required improvement.

• Systems were in place to deal with medical emergencies and staff were trained in basic life support.

• 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.

• Feedback from patients on the day of the inspection about their care was consistently and strongly positive. Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Data showed that outcomes for patients at this practice were similar to outcomes for patients locally and nationally.
• Information about services and how to complain was available for patients.

• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group.

• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership and staff structure and staff understood their roles and responsibilities.

• The practice provided a range of enhanced services to meet the needs of the local population.

The areas where the provider must make improvements are:

• The practice had a high number of new patients for whom the due to the closure of a nearby GP practice past medical history and information about medication, allergies, adverse reactions, immunisations and vaccinations. There was no written risk assessment or action plan in place to reduce the risks presented by this situation. A risk assessment with timescales for actions must be completed to reduce risks to patients.

The areas where the provider should make improvement are:

• The records made of the reporting of significant events required more written detail to show the actions taken to reduce reoccurrence.

• The provider should ensure that staff are not allowed to work before a completed Disclosure and Barring Service check (DBS check) is undertaken or a risk assessment is completed to support their decision not to undertake this.

• The practice should have an up to date electrical certificate to ensure the fitness of the premises.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice