Dr M Umar & Dr H Sadique - Care Quality Commission

Latest inspection summary

Background to this inspection
Overall inspection
People with long term conditions
Families, children and young people
Older people
Working age people (including those recently retired and students)
People experiencing poor mental health (including people with dementia)
People whose circumstances may make them vulnerable

Background to this inspection

Updated 3 February 2017

Dr M Umar & Dr H Sadique GP practice, known locally as the Nelson Medical Practice is based in Nelson and is part of the East Lancashire Clinical Commissioning Group (CCG).

The practice has 4995 patients on their register and provides service under a General Medical Services contract. Information published by Public Health England rates the level of deprivation within the practice population group as one on a scale of one to 10 (level one represents thehighest levels of deprivation and level 10 the lowest). Male and female life expectancy in the practice geographical area is 75 years for males and 80 years for females both of which are below the England average of 79 years and 83 years respectively. Information from the 2011 census

estimates the patient ethnicity in the GP locality to be 44% Asian. The practice also reports an increase in the numbers of Asian patients who have come from Italy recently. The number of patients between the ages of 0 to 18 years of age on the GP practice register is higher than the average GP practice in England.

The number of patients with health related problems in daily life (57%) was significantly higher than the England average (49%). In addition, 69 per 1000 patients were claiming disability allowance compared with England average of 50.

The practice has two full time male GP partners and one part time female long-term locum GP. The practice employed a nurse prescriber, a practice nurse, a part time phlebotomist, a practice manager, and a team of receptionists. The practice had also recruited a clinical pharmacist to support patients with medication; this post was shared jointly with another practice in the same building.

The practice is located in Yarnspinners Primary Health Care Centre, Carr Road, Nelson BB9 7SR. The building is a LIFT property maintained by the Eric Wright Group. The site also hosts four other practices and a variety of community services including podiatry, dietician and podiatry clinics. It is fully equipped with facilities for the disabled including disabled parking, access ramps, double doors, disabled toilet, hearing loops in the reception area and passenger lifts. Local transport and household shopping and parking facilities are close by the practice.

The surgery is open 8 am to 6.30pm on Monday to Friday. When the surgery is closed, patients are requested to call the out of hours service provider, East Lancashire Medical Services (ELMS via 111).

Overall inspection

Good

Updated 3 February 2017

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Dr M Umar & Dr H Sadique for areas within the key question well-led. This review was completed on 24 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.

CQC previously inspected the practice on 19 January 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated ‘good’ overall. However, the key question well-led was identified as ‘requires improvement’. Whilst CQC did not issue any requirement notices, but the practice was advised they should make improvements in a number of areas including:

Implementing a system to periodically review the effectiveness and impact of changes implemented as a result of significant event analysis.
Ensuring that all staff know the location of the emergency medicines.
Implementing a system to review at intervals the contractual obligations for the building environment and equipment with the property landlord so that potential risks to safety are mitigated.
Reviewing and developing the practice’s communication strategies so that information about the practice, its policies and procedures and specific health conditions are available to people in different languages and in different formats.
Continuing to review telephone and appointment access to seek further improvements to meet patient demand following the GP survey results.
Improving governance arrangements by recording a business plan with priorities and strategies to provide focus and clarity on the development of the service and progress against the practice’s aims and objectives.
Implementing a system of regular planned performance monitoring whereby significant events, complaints, updated clinical guidance, patient feedback and the practice’s progress in meeting the Quality and Outcomes Framework (QOF) is undertaken.

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

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

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Dr M Umar & Dr H Sadique Also known as Nelson Medical Practice

Latest inspection summary

On this page

Background to this inspection

Overall inspection

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP)

People with long term conditions

Families, children and young people

Older people

Working age people (including those recently retired and students)

People experiencing poor mental health (including people with dementia)

People whose circumstances may make them vulnerable