We carried out an announced inspection at Dr Ishtiaq Gilkar, Little Horton Lane Medical Centre on 4 and 5 May 2022. Overall, the practice is rated as Good.
The ratings for each key question are:
Safe - good
Effective - good
Caring - good
Responsive - good
Well-led - good
At our previous inspection on 21 February 2019, the practice was rated Good overall and for all key questions.
previous inspections can be found by selecting the ‘all reports’ link for Dr Ishtiaq Gilkar on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a comprehensive inspection undertaken at the same time as CQC inspected a range of urgent and emergency care services in West Yorkshire. We undertook this inspection to review the quality of care delivered by GP providers and the experience of people who use GP services. We asked a range of questions in relation to urgent and emergency care. The responses we received have been used to inform and support system-wide feedback. We also included additional questions to establish the practice response to access to appointments for patients following the COVID-19 pandemic.
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 telephone and 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 site visit to the location and the branch site, Birch Medical Centre.
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. There were adequate systems to assess, monitor and manage risks to patient safety.
- End of life care was delivered in a coordinated way which took into account the needs of those whose circumstances may make them vulnerable. Staff and clinicians had completed training in the quality markers of good clinical practice for end of life patients.
- Through joint working with stakeholders, the practice supported holistic care and treatment for patients.the Primary Care Network (PCN) and local GP Federations.
- The practice participated in measures to limit antimicrobial prescribing for optimum benefit to patients.
- 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 had reviewed and 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 develop systems to improve uptake rates for childhood immunisations
- Improve uptake rates for cancer screening programmes including cervical screening
- Improve patient access at the practice
- Improve patient satisfaction at 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