Dr S A Mushtaq & Partners

Background to this inspection

Updated 24 March 2017

Dr S A Mushtaq & Partners is also known as Wolverton Health Centre and provides a range of primary medical services, including minor surgical procedures from its location on Gloucester Road in Wolverton, Milton Keynes. The practice holds a Personal Medical Services (PMS) contract for providing services, which is a locally agreed contract between general practices and NHS England for delivering personal medical services to local communities.

The practice serves a population of approximately 15,200 patients with higher than average populations of males and females aged 0 to 14 and 25 to 39 years. There are lower than average populations of patients aged 45 to 85+ years. The practice population is of mixed ethnic background with a high proportion of patients of South Asian origin. National data indicates the area served is one of slightly higher than average deprivation in comparison to England as a whole.

The clinical team consists of one female and four male GP partners, one nurse practitioner, four practice nurses and two health care assistants. In addition the practice employs a pharmacist to monitor and advise on prescribing. The team is supported by a practice manager, deputy practice manager and a team of administrative staff.

The practice employs a female long term locum and was recruiting for an additional GP partner.

The practice operates from a two storey purpose built property and patient consultations and treatments take place on the ground level and first floor. There is a car park directly outside the practice for staff and patients, with designated disabled parking available.

Dr S A Mushtaq & Partners is open between 8am and 6.30pm Monday to Friday. In addition, the practice receives funds from the Prime Ministers Challenge Fund (PMCF) to provide extended hours appointments to patients across the locality, including those not registered with the practice. Other local practices also in receipt of the PMCF are involved in providing these extended hours appointments. These appointments are available from 7am to 8am Monday to Friday, between 6.30pm and 8pm on Tuesdays, Wednesdays and Thursdays and between 8am and 12 pm on Saturdays.

The out of hours service is provided by Milton Keynes Urgent Care Services and can be accessed via the NHS 111 service. Information about this is available in the practice and on the practice website and telephone line.

At the time of our inspection, the registration of Dr S A Mushtaq & Partners with CQC to provide regulated activities was not accurate and we had not been notified of changes made to the partners at the practice, as required under the CQC (Registration) Regulations 2009. The practice has now taken steps to complete the necessary application to ensure their registration with us is accurate.

Overall inspection

Good

Updated 24 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr S A Mushtaq & Partners on 5 July 2016. The overall rating for the practice was requires improvement as breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to;

Regulation 16 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – receiving and acting on complaints.
Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – good governance.

From the inspection on 5 July 2016, the practice were told they must:

Ensure a robust system is implemented to ensure that complaints are managed appropriately.
Ensure records are maintained securely in relation to governance arrangements, including but not limited to records for complaints received and action taken, infection control audits and personnel files.

In addition, the practice were told they should:

Develop systems to identify and support more carers in their patient population.
Continue to monitor the results from the patient survey and establish an action plan for areas which are identified as requiring improvement.

The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Dr S A Mushtaq & Partners on our website at www.cqc.org.uk.

This inspection was a focused follow up carried out on 21 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 5 July 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

Systems had been improved to ensure that a consistent approach was adopted to handling complaints and that appropriate action was taken in response to complaints received. Records of complaints received and action taken were kept securely. We saw that complaints were shared with staff and improvements made to reduce the risk of recurrence.
The practice had improved governance arrangements to ensure that records were securely maintained and managed appropriately.
The practice had identified 112 patients as carers (less than 1%) and was actively working to identify and support more carers in its population. The practice had appointed a Carers Champion to work as a key point of contact for carers and to ensure support was available. They regularly liaised with the local charity for carers to provide up to date support and advice to patients.
The practice regularly monitored national patient survey results and worked towards improving practice performance.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice