The Care Quality Commission
  • Doctor
  • GP practice

Archived: St. Luke's Surgery

Overall: Requires improvement read more about inspection ratings

Grand Ocean Medical Centre, Longridge Avenue, Saltdean, Brighton, East Sussex, BN2 8BU (01273) 302638

Provided and run by:
Dr Rifaat Amin

Important: This service is now registered at a different address - see new profile

All Inspections

26 November 2019

During a routine inspection

We carried out an announced comprehensive inspection at St Luke’s on 26 November 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:

  • Safe
  • Effective
  • Caring
  • Responsive
  • Well-led

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as requires improvement overall and for safe, effective and well-led services. We rated them as good for caring and responsive services.

We have rated the practice as good for the population groups with the exception of working age people which is rated as requires improvement.

We found that:

  • The practice did not always provide care in a way that kept patients safe and protected them from avoidable harm. Risks were not always managed effectively, as not all chaperones had received a DBS check or risk assessment relating to this and infection control records did not demonstrate effective practice.
  • Patients did not always receive effective care and treatment that met their needs. Cervical screening rates were below target and clinical meetings were not held and there was insufficient supervision arrangements for nursing staff.
  • There were ineffective governance systems in some areas, including the management of safety alerts and policies.
  • Staff treated patients with care and compassion.
  • Patients were positive about how they could access services in a timely manner.

The provider must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The provider should:

  • Make arrangements for nursing staff to complete safeguarding training at level three.
  • Continue to work to improve the uptake of childhood immunisations.
  • Work to improve the uptake of cervical screening.
  • Maintain records of staff vaccination status in line with Public Health England guidance.
  • Review areas where QOF exception reporting is higher than average.
  • Review cholesterol monitoring and control.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

15 August 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rifaat Amin on 5 December 2016. We found that the practice required improvement for the provision of effective services because breaches of regulation were identified. The full comprehensive report on the 5 December 2016 inspection can be found by selecting the ‘all reports’ link for Dr Rifaat Amin on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 15 August 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 5 December 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 effective services as well as good overall.

Our key findings were as follows:

  • Improved systems had been implemented which had driven improvement in practice performance.

Patient outcomes had been improved through one clinical audit.

At the previous inspection in December 2016, we also told the provider that they should make improvements to ensure that loop chords on blinds were fitted with appropriate child safety devices. We saw this had been actioned within the practice.

However, there was also an area of practice where the provider should continue to make improvements.

  • Ensure there is a programme of clinical audits and re-audits to monitor and improve patient outcomes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

5 December 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Rifaat Amin (also known as St. Luke’s Surgery) on 5 December 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • Data from the national GP patient survey in 2015/2016 showed that patient satisfaction was significantly above the national average.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

  • Develop an ongoing audit programme that demonstrates continuous improvements to patient care in a range of clinical areas. Ensure there are at least two cycles of a clinical audit.

  • Take steps to improve practice performance against the quality and outcomes framework in areas that have been identified as falling below the national and local averages. For example, for patients with diabetes, hypertension and dementia.

The area where the provider should make improvement is:

Ensure loop cords on window blinds in the practice are fitted with a safety device in order to reduce the risks posed to young children.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice