Background to this inspection
Updated
31 October 2018
Dr Roshan Khuroo is the registered provider of Dr Khuroo’s Practice. The practice is situated in Stockland Green Primary Care Centre which is a multipurpose modern built building shared with other health care providers, providing NHS services to the local community. Further information about Dr Khuroo’s Practice can be found by accessing the practice website at www.drkhuroospractice.co.uk
Based on data available from Public Health England, the levels of deprivation in the area served by Dr Roshan Khuroo Surgery showed the practice is located in a more deprived area than national averages, ranked at one out of 10, with 10 being the least deprived. (Deprivation covers a broad range of issues and refers to unmet needs caused by a lack of resources of all kinds, not just financial). The practice serves a higher than average patient population aged between zero to 59. The number of patients aged 60 and over is below local and national averages.
The patient list is 4,754 of various ages registered and cared for at the practice. Services to patients are provided under a Personal Medical Services (PMS) contract with the Birmingham Cross City Clinical Commissioning Group (CCG). PMS is a contract between general practices and the CCG for delivering primary care services to local communities.
The surgery has expanded its contracted obligations to provide enhanced services to patients. An enhanced service is above the contractual requirement of the practice and is commissioned in order to improve the range of services available to patients.
On-site parking is available with designated parking for cyclists and patients who display a disabled blue badge. The surgery has automatic entrance doors and is accessible to patients using a wheelchair and push chairs.
Practice staffing comprises of three GPs, one female and two males, a practice nurse, two health care assistants and a phlebotomist. The management team consists of one practice manager, who is supported by a senior receptionist and a team of administrators, secretaries and receptionists.
The practice is open between 8am and 6.30pm Mondays to Fridays except on Wednesdays when the practice closes at 1.15pm.
Morning GP consulting hours are from 8.30am to 12.30pm Mondays to Fridays. Evening consulting hours are from 2pm to 6pm Mondays to Fridays; except on Wednesdays when the practice is closed from 1.15pm. Extended opening hours are provided by a local Hub on weekday evenings and weekends.
The practice has opted out of providing cover to patients in their out of hours period as well as Wednesdays when the practice closes at 1.15pm. During this time, services are provided by Birmingham and District General Practitioner Emergency Rooms (BADGER) medical services.
The practice was previously inspected in October 2017 and rated overall good.
Updated
31 October 2018
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Roshan Khuroo (also known as Stockland Green Practice) on 19 January 2017. The overall rating for the practice was requires improvement. Data taken from the July 2016 national GP patient survey showed areas where patient satisfaction was below local and national averages and the overarching governance arrangements did not support effective management of risks. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Dr Roshan Khuroo on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 10 October 2017 to confirm that the practice had carried out their plan to improve in areas we identified in our previous inspection on 19 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings were as follows:
- Data from the 2016/17 Quality and Outcomes Framework showed the practice was an outlier for some QOF clinical domains; however, data showed areas of improvement since our previous inspection. Staff were aware of the practice performance and were taking action to improve patient engagement.
- Since our previous inspection, the practice had reviewed their systems to improve the uptake of national screening programs and had used various methods such as attending local community events and accommodated additional clinics to increase uptake.
- The 2016/17 Child Health Information data provided by the practice showed improvement in the uptake of childhood immunisations. For example, vaccinations given to under two year olds ranged from 82% to 95%.
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Although, results from the July 2017 national GP patient survey showed patients’ satisfaction remained below local and national averages; patients’ satisfaction had slightly improved in some areas. For example, satisfaction with accessing the service by phone had improved and comments from patients we spoke with were positive about phone access.
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Since our previous inspection, the practice had carried out their own patient survey, which showed patients were satisfied with some of the services provided. For example, patients were positive about phone access and experience of making an appointment. However, patients we spoke with during our inspection had mixed views regarding levels of satisfaction. In particular, patients were not always satisfied with consultations.
- The practice was aware of areas of low patient satisfaction; an action plan was in place and staff continued working to improve areas where satisfaction was below local and national averages.
- To address concerns relating to staffing levels and appointment availability the practice recruited additional staff and implemented a new rota system.
The provider should make improvements in the following areas:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice