All inspections: Dr R Ali Surgery - Care Quality Commission

We carried out a review of the data available to us about Dr R Ali 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 Dr R Ali Surgery, you can give feedback on this service.

We carried out an announced inspection at Dr R Ali Surgery on 18 August 2022. Overall, the practice is rated as Good..

Set out the ratings for each key question

Safe - Good

Effective - Good

Caring – Good (rating awarded at last inspection on 20 June 2019)

Responsive - Good (rating awarded at last inspection on 20 June 2019)

Well-led - Good

Following our previous inspection on 20 June 2019, the practice was rated Good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr R Ali Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We undertook this inspection as part of a random selection of services rated good and outstanding to test the reliability of our new monitoring approach. This included focusing on the key questions safe, effective and well led.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

Conducting staff interviews using video conferencing
Completing clinical searches on the practice’s patient records system and discussing findings with the provider
Reviewing patient records to identify issues and clarify actions taken by the provider
Requesting evidence from the provider
A short site visit

Our findings

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 Good overall

We found that:

The practice provided care in a way that kept patients safe and protected them from avoidable harm.
Patients received effective care and treatment that met their needs.
The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

Continue to work with patients to encourage and improve uptake rates for childhood immunisations and cervical cancer screening

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

Dr Rashid Ali is a new registered provider for the practice and this is the first inspection of the service under this provider.

We carried out an announced comprehensive inspection at Dr Rashid Ali’s practice on 20 June 2019 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.

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 good overall and good for all population groups.

We found that:

Since taking over the practice in November 2018, the new provider had identified areas of the service in need of improvement. At the time of our inspection, these had been or were in the process of being addressed.
The practice provided care in a way that kept patients safe and protected them from avoidable harm.
Patients received effective care and treatment that met their needs.
Staff dealt with patients with kindness and respect and involved them in decisions about their care.
The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

Review processes for the management of significant events and patient safety alerts to ensure practice policy is always followed.
Document records of clinical discussions.
Maintain an overview of staff medical indemnity and vaccination status.
Consider a review of the practice processes for safeguarding vulnerable patients to ensure all information is shared with other services.
Review practice processes for monitoring high-risk medicines to ensure patient records are completed appropriately.
Continue with the scanning, coding and filing of the backlog of historical communications received by the practice.

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

Dr R Ali Surgery

All Inspections

6 July 2023

During a monthly review of our data

18 August 022

During a routine inspection

20 June 2019

During a routine inspection