Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Naseem Akbar on 16 August 2016. The overall rating for the practice was good, with the rating for providing safe services requires improvement. The full comprehensive report on the 16 August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Naseem Akbar on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 27 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 16 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
The practice is now rated as Good for providing safe services. The overall rating remains unchanged from our previous inspection.
Our key findings were as follows:
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Controlled drugs were no longer kept on the premises (Controlled drugs require specific measures in place for their safe handling, storage, security, prescribing, administering, recording and destruction). Controlled drugs previously held on the premises had been appropriately denatured and destroyed in line with the relevant guidance.
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The practice had reviewed and improved arrangements for the security and use of blank prescription forms, including implementing a prescription security protocol. The practice now maintains a register to monitor blank prescriptions, received and distributed, and all staff had been made aware of the security requirements and the administrative procedures in respect of prescription management. The practice told us blank prescription forms were no longer left in printers overnight but are locked away.
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The practice had reviewed stocks of emergency medicines, ensuring these were in line with guidelines and the needs of the practice patient population, implementing a reviewed emergency medicines protocol.
We also reviewed the areas we identified where the provider should make improvement:
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The practice had made copies of its business continuity plan available off site as well as on site for use in emergencies.
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The practice had continued to hold, record, monitor and review weekly governance meetings.
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The practice had reviewed how patients were informed about how to make a complaint and had ensured the practice complaints policy was available to patients in the reception area.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice