We carried out a review of the data available to us about Miller Street Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Miller Street Surgery, you can give feedback on this service.
We previously carried out an announced comprehensive inspection at Dr S Javaid & Partners (also known as Miller Street Surgery) on 12 July 2016. The overall rating for the practice was ‘Good’ with requires improvement for providing a safe service. Since the last inspection in July 2016 Miller Street Surgery changed its Care Quality Commission registered provider name from Dr S Javaid & Partners to Miller Street Surgery. The full comprehensive report for the 12 July 2016 inspection can be found by selecting the ‘all reports’ link for Dr S Javaid & Partners on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 1 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation identified in our previous inspection on 12 July 2016. This report covers our findings in relation to those requirements.
Overall the practice is rated as Good.
The provider had ensured recruitment checks for newly recruited staff met legislative requirements.
All staff that provided a chaperone service had Disclosure and Barring Service checks in place and had completed online chaperone training.
All persons employed had timely access to training updates.
The practice had completed regular analysis of significant events to identify any common trends, maximise learning and help mitigate further errors.
We found the practice had implemented a system to ensure patients who took long-term medicines were in receipt of appropriate monitoring and results were checked by the GPs before medicines were prescribed.
The practice had ensured prescriptions were checked regularly to ensure they were collected by patients.
The practice had improved on the identification of patients who may be carers.
Registers held of vulnerable children and adults were reviewed by the practice. The practice implemented regular meetings with the Health Visitor and current and vulnerable patients were clearly identified on the practice computer system.
We saw there had been improvement in the practice carer register since the inspection in July 2016. The findings of the inspection in July 2016 were that the practice computer system alerted staff if a patient was also a carer and had identified 33 patients as carers (0.5% of the practice list). The August 2017 inspection found that the practice had identified 101 patients as carers (1.5% of the practice list).
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr S Javaid and Partners on 12 July 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
Staff understood and fulfilled their responsibilities to raise concerns and to report incidents and near misses.
Patients said they found it easy to make an appointment with urgent appointments available on the same day.
Risks to patients were assessed but not always effectively managed.
Patients’ needs were assessed and care was planned and delivered in line with current evidence based guidance.
Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
Information about how to complain was available but not readily accessible. The practice responded quickly to issues raised.
The practice had good facilities and was equipped to treat patients and meet their needs.
There was a clear staffing structure and staff were aware of their own roles and responsibilities.
The practice proactively sought feedback from staff and patients, which it acted on.
The practice had an active patient participation group, had implemented suggestions for improvements, and had made changes to the way it delivered services as a consequence of feedback.
Staff held regular meetings with healthcare professionals involved in the care of the patients.
The areas where the provider must make improvement are:
Ensure recruitment checks for staff meet legislative requirements.
Undertake a robust risk assessment in the absence of DBS checks for all staff that chaperone.
The provider should:
Carry out a regular analysis of significant events to identify any common trends, maximise learning and help mitigate further errors.
Implement a robust system for ensuring that monitoring of patients who take long-term medicines on a shared care basis, has taken place before the medicines are prescribed.
Improve the identification of patients who may be carers.
Ensure prescriptions are checked regularly to ensure they are collected by patients.
Ensure the registers held of vulnerable children and adults are current and vulnerable patients are clearly identified to staff on the practice computer system.
Ensure that all persons employed have timely access to training updates.
Chief Inspector of General Practice