Dr Michael Garas Mikhail Also known as Chepstow Gardens Medical Centre

Updated 25 January 2017

Dr Michael Garas Mikhail also known as Chepstow Gardens Medical Centre is situated at 150 Lady Margaret Road, Southall, Ealing, UB1 2RL. The practice provides NHS primary care services through a General Medical Services (GMS) contract to approximately 2,400 people living in the

Southall area of the London Borough of Ealing. The practice is part of the NHS Ealing Clinical Commissioning Group (CCG).

The practice population is ethnically diverse and is representative of most age groups with a much higher than national average number of patients between 25 and 30 years. The practice area is rated in the fourth most deprived decile of the Index of Multiple Deprivation (IMD). People living in more deprived areas tend to have greater need for health services.

The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; treatment of disease, disorder or injury, maternity and midwifery services and surgical procedures.

The practice is currently registered with CQC as a partnership, although during the desk top review, the practice advised us that the senior partner had now retired. Advice was given regarding the need for the practice to update its registration with CQC accordingly.

The working practice team consists of one male GP partner (eight sessions/week),one female locum GP (three sessions per week), a practice nurse (six sessions /week), a practice manager, a business manager and a small team of reception staff.

The practice is open between 8.30am and 6.30pm Monday, Tuesday, Wednesday and Friday, and 8.30am to 1pm Thursday. Appointments are available throughout the practice opening hours however the practice is closed between 1pm and 2pm for lunch. The reception team direct urgent calls to a GP’s mobile during this time. Extended hours appointments are offered on Monday and Friday to 7pm. For out-of-hours (OOH) care patients are instructed to contact the NHS 111 service where they are directed to local OOH services.

Services provided include long-term condition management, cervical smears, family planning, blood pressure checks, minor surgery, anticoagulation, childhood and travel immunisations.

Updated 25 January 2017

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Dr Michael Garas Mikhail, for areas within the key question well-led. This review was completed on 15 December 2016.

Upon review of the documentation provided by the practice, we found the practice to be good in providing well-led services. Overall, the practice is rated as good.

The practice was previously inspected on 5 April 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At the inspection, the practice was rated overall as ‘good’. However, within the key question well-led an area was identified as ‘requires improvement’, as the practice was not meeting the legislation around patient dignity. The practice was issued a requirement notice under Regulation 10, Dignity and Respect.

At the inspection in April 2016, we found an area of concern in relation to unprofessional communication about patients between some staff members.

Other areas identified where the practice was advised they should make improvements included:

• Carry out regular fire evacuation drills.
• Complete a legionella risk assessment.
• Display notices in the waiting room advising patients of chaperoning and translation services available.
• Ensure staff appraisals are up to date.
• Implement a robust strategy to deliver the practice vision.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 10 Dignity and Respect of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The practice also demonstrated improvement in the other areas identified in the report from April 2016 which did not affect ratings. These improvements have been documented in the well-led section, showing how the registered person has demonstrated continuous improvement since the full inspection.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 25 January 2017

The practice is rated as good for the care of people with long term conditions.

This rating was given following the comprehensive inspection in April 2016. A copy of the full report following this inspection is available on our website

http://www.cqc.org.uk/search/services/doctors-gps

Updated 25 January 2017

The practice is rated as good for the care of families, children and young people.

This rating was given following the comprehensive inspection in April 2016. A copy of the full report following this inspection is available on our website 

http://www.cqc.org.uk/search/services/doctors-gps

Updated 25 January 2017

The practice is rated as good for the care of older people.

This rating was given following the comprehensive inspection in April 2016. A copy of the full report following this inspection is available on our website http://www.cqc.org.uk/search/services/doctors-gps

Updated 25 January 2017

The practice is rated as good for the care of working age people (including those recently retired and students).

This rating was given following the comprehensive inspection in April 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps

Updated 25 January 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

This rating was given following the comprehensive inspection in April 2016. A copy of the full report following this inspection is available on our website

http://www.cqc.org.uk/search/services/doctors-gps

Updated 25 January 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

This rating was given following the comprehensive inspection in April 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps