Archived: Dr Ghadeer Hamad

Updated 24 April 2017

Dr Ghadeer Hamad’s practice otherwise known as The Preston Road Surgery is situated on the main A6 at 652 Preston Road in the Clayton-le-Woods area of Chorley, PR6 7EH. The building is single-storey and was originally built in the early 1930's as a residential home. The practice was

refurbished and turned into a surgery in 1982. It has had three extensions to the building and provides patient facilities of a waiting area and four treatment and consulting rooms. The practice provides level access for patients to the building with disabled facilities available.

There is parking provided for the practice at the rear of the property and the practice is close to public transport.

The practice is part of the Chorley with South Ribble Clinical Commissioning Group (CCG) and services are provided under a General Medical Services Contract (GMS).

There is one female GP partner and two male long-term locum GPs assisted by one clinical nurse practitioner and one healthcare assistant. A practice manager and assistant practice manager together with five administrative and reception staff also support the practice.

The practice is open from Monday to Friday 8am to 6.30pm and extended hours are offered on Saturday from 9am to 12noon. Doors are open to patients from 8.15am to 6pm and appointments are offered every day from 9am to 11.30am and from 3.30pm to 5.30pm except Thursdays when the surgery is open but there is no bookable afternoon surgery. On a Monday morning, the practice offers an open surgery between 9am and 10.30am in place of the bookable appointments. When the practice is closed, patients are able to access out of hours services offered locally by the provider GotoDoc by telephoning 111.

The practice provides services to 3,256 patients. There are higher numbers of patients aged between 45 and 65 years of age (32%) than the national average (25%) and fewer numbers of patients aged over 65 years of age (15%) than the national average (17%).

Information published by Public Health England rates the level of deprivation within the practice population group as five on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Both male and female life expectancy is slightly lower than the local and national average, 81 years for females compared to 83 years nationally and 78 years for males compared to 79 years nationally.

The practice has a higher proportion of patients experiencing a long-standing health condition than average practices (62% compared to the national average of 54%). The proportion of patients who are in paid work or full time education is higher (67%) than the local and national average of 62% and unemployment figures, 3%, are the same as the local average and lower than the national average of 5%.

Updated 24 April 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Ghadeer Hamad’s practice on 20 September 2016. The overall rating for the practice was good with the key question of effective rated as requires improvement. The full comprehensive report on the September 2016 inspection can be found by on our website at http://www.cqc.org.uk/location/1-518709897

This inspection was a desk-based review carried out on 7 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 20 September 2016. This report covers our findings in relation to those requirements.

Overall the practice is now rated as good.

Our key findings were as follows:

• At the inspection in September 2016 we found that not all patient test results were viewed by a suitably qualified clinician. At this inspection we saw that the practice had implemented a new policy to ensure that all patient test results were viewed and actioned by a clinician.
• At our previous inspection, we identified that clinical staff had not received the appropriate update training necessary to enable them to carry out their duties effectively. For this inspection, the practice sent us evidence that this training had been completed.
• During our previous inspection in September 2016 we saw that written patient consent for contraceptive implants was not obtained in line with current guidance. At this inspection we saw evidence that written consent was obtained routinely when current guidance recommended it.
• At the inspection in September 2016, we saw that the practice had not addressed all of the risks associated with the security of blank prescription forms. At this inspection we saw that the practice had introduced a new policy and working practice to address those risks and ensure that loose prescriptions were securely managed.
• At our previous inspection, we found that oxygen cylinders for use in emergencies had not been checked and managed appropriately. At this inspection we saw that a new process for their management had been introduced to ensure that oxygen would always be available for emergency use.
• During our inspection in September 2016, we saw that there was no current building electrical safety certificate for the surgery. For this inspection we were sent a copy of a certificate that had been obtained to certify the electrical safety of the building.
• At our inspection in September 2016 we noted that there had been no recorded infection control audit activity to demonstrate compliance with practice infection control policy and procedure and no regular full infection control training for staff. At this inspection, we saw that the practice had carried out an infection control audit and that all staff had received suitable infection control training.
• At our previous inspection we noted that information for patients and staff regarding the practice complaints procedure was not easily available to patients and staff. For this inspection we were sent a copy of a poster that the surgery told us was now displayed on the wall in the patient waiting area that detailed the practice complaints procedure.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 24 April 2017

The provider had resolved the concerns for effective practice identified at our inspection on 20 September 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-518709897

Updated 24 April 2017

The provider had resolved the concerns for effective practice identified at our inspection on 20 September 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-518709897

Updated 24 April 2017

The provider had resolved the concerns for effective practice identified at our inspection on 20 September 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-518709897

Updated 24 April 2017

The provider had resolved the concerns for effective practice identified at our inspection on 20 September 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-518709897

Updated 24 April 2017

The provider had resolved the concerns for effective practice identified at our inspection on 20 September 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-518709897

Updated 24 April 2017

The provider had resolved the concerns for effective practice identified at our inspection on 20 September 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-518709897