Dr Hazem Lloyd Also known as Cedar House

Updated 20 July 2018

Dr Hazem Lloyd, Cedar House, 82 Bramhall Lane, Stockport, SK2 6JG is part of the NHS Stockport Clinical Commissioning Group (CCG). Dr Hazem Lloyd is the registered provider and is a single-handed GP. Services are provided under a general medical services (GMS) contract with NHS England. The practice building provides ground level access, which is suitable for people with mobility issues, although automatic door openers are not available. A hearing loop to assist people with hearing impairment is not available. More information about the practice is available on their website address: .

There are approximately 2300 registered patients. The practice population includes a higher number (59%) of patients with a long-standing health condition, and a higher number (6%) of people unemployed, in comparison with the CCG average of 54% and 5% respectively. Information published by Public Health England rates the level of deprivation within the practice population group as five on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Dr Hazem Lloyd provides full time GP cover at the practice.

The practice has one regular locum advanced nurse practitioner who works 12 hours per week and one regular locum practice nurse who works eight and half hours each week. There is a practice director and a team of three reception staff. The practice reception is open between 8am to 6.30pm Monday to Friday, with extended hours on a Monday and Thursday evening until 7pm. The advanced nurse practitioner also provides extended surgeries on these evenings. The practice offers a variety of GP surgery times, which are set two weeks in advance. Longer surgeries are provided on Mondays and Fridays. Both pre-bookable and urgent same day appointments are available each day.

When the practice is closed patients are asked to contact NHS 111 for Out of Hours GP care. The practice provides online access that allows patients to order prescriptions and request and cancel an appointment.

The practice provides the following regulated activities: treatment of disease, disorder or injury, diagnostic and screening procedures, family planning and maternity and midwifery services.

Updated 20 July 2018

This practice is rated as Good overall. (Previous rating December 2017 – Requires Improvement)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Dr Hazem Lloyd (Cedar House Surgery) on 19 June 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to follow up on previous identified breaches from the inspection conducted on 5 December 2017. After the inspection in December 2017 the practice was rated requires improvement overall. We issued warning notices to the provider for beaches of Regulation 12 (safe care and treatment) and Regulation 17 (good governance), we also issued the provider with a requirement notice in relation to Regulation 18 (staffing). The inspection on the 19th June 2018 was also to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. Dr Hazem Lloyd is now rated as good overall.

At this inspection we found:

• Breaches of regulations identified at the inspection conducted in December 2017 relating to safety, staffing and leadership had all been addressed.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. Safety alerts were acted on, however not effectively recorded.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
• Some information required when recruiting staff had not been retained.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. A new patient participation group was being formed.

The areas where the provider should make improvements are:

• Record all safety alerts and action taken in response to them.
• Include medical declarations in recruitment information held.
• Complete recommendations from last infection control audit relating to replacement furniture and wall mounted soap dispensers.
• Appoint and train additional fire marshals.
• Consolidate the locum GP induction pack.
• Review and update the practice controlled drugs policy.
• Document protocols for monitoring high risk medicines.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018