The Care Quality Commission
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Archived: Aksyr Medical Practice

Overall: Good read more about inspection ratings

150 Hilltop Avenue, Harlesden, London, NW10 8RY (020) 3118 7270

Provided and run by:
Aksyr Medical Practice

All Inspections

10 August 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Aksyr Medical Practice on 10 March 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Aksyr Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection on 10 August 2017. We found that improvements had been made since the previous inspection and the practice was meeting the regulations which it had previously breached. Overall the practice is now rated as good.

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

  • The practice had reviewed its approach to safety and had systems in place for reporting and recording significant events. The provider was aware of the requirements of the duty of candour.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety. At this inspection we found the practice had reviewed its policies and procedures and made changes where required.
  • Staff were aware of current evidence based guidance. Staff had been trained and had the skills and knowledge to deliver effective care and treatment.
  • Patient feedback showed that patients were treated with compassion, dignity and respect. The practice tended to score below average for patient involvement in decisions about their treatment however.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with said they found it easy to make an appointment with a named GP and there was good continuity of care. Urgent appointments were available the same day.
  • 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 areas where the provider should make improvement are:

  • The practice should aim to increase its care planning with patients with mental health problems who could benefit from this approach.
  • The practice should review patient feedback on involvement in decision making with the aim of improving in this area.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

10 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Aksyr Medical Practice on 10 March 2016. Overall the practice is rated as requires improvement.

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. However, significant events were not always recorded when they occurred.
  • Risks to patients in relation to medicines management, equipment, recruitment checks and dealing with emergencies were not assessed and well managed.
  • Data showed patient outcomes were low in some long term conditions such as diabetes and mental health conditions compared to the national average. Although some audits had been carried out, we saw little evidence that audits were driving improvements to patient outcomes.
  • The majority of patients said they were treated with compassion, dignity and respect however, not all felt they were involved in decisions about their care.
  • Information about services was available and the practice provided information leaflets in different languages.
  • The practice had a number of policies and procedures to govern activity and all were in date.
  • There was an effective system in place for handling complaints and concerns.

The areas where the provider must make improvements are:

  • Ensure adequate arrangements are in place to assess, monitor, manage and mitigate risks to the health and safety of service users. This includes identifying the risks associated with poor medicines management, equipment checks, recruitment checks and ensure staff are trained in the use of emergency equipment.

  • Ensure all significant events that occur at the practice are recorded.

  • Ensure robust systems and processes are established and operated effectively to handle all patholology results and action all workflows and tasks in a timely manner.

In addition the provider should:

  • Consider ways to improve patient satisfaction with consultations with the GP and nurses and to address any issues raised.
  • Improve the identification of those with caring responsibilities registered with the practice in order to support and signpost them more effectively.
  • Implement a quality improvement initiative to improve patient outcomes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice