We decided to undertake an inspection of this service on 19 September 2019 following our annual review of the information available to us. We previously inspected on 20 April 2016 (at which time the service was rated as Good overall). The full comprehensive report on the 20 April 2016 inspection can be found by selecting the ‘all services’ link for Dr Mohammed Abedi on our website at www.cqc.org.uk.
This inspection looked at the following key questions: Effective and Well led.
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 rated the practice as good for providing effective services because:
•People had good outcomes as a result of receiving effective care and treatment that met their needs.
•Information about people’s care and treatment was routinely collected, monitored and acted upon.
We rated the practice as good for providing well-led services because:
•The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
•Clinical audit processes functioned well and had a positive impact in relation to quality governance, with clear evidence of action to resolve concerns.
We have rated this practice as good overall and good for all population groups.
We found that:
•Clinical audit was routinely carried out and was used to drive improvements in patient outcomes.
•Accurate and up-to-date information about effectiveness was discussed, used and understood by staff.
•Governance arrangements supported the delivery of high-quality person-centred care and there was an effective process in place to identify, monitor and address risks (for example relating to safeguarding, medicines management and staffing).
•People who used the service told us the provider actively involved them in service. improvements.
Whilst we found no breaches of regulations, the provider should:
•Continue to review and refine systems for monitoring the health status of patients who are exception reported or excluded from data collected to calculate achievement scores for the Quality and Outcomes Framework (a voluntary reward and incentive programme which rewards GP practices in England for the quality of care they provide to their patients).
•Continue to review and refine systems for improving childhood immunisations and cervical screening uptake.
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