- GP practice
Archived: Dr Ghadeer Hamad
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The provider of this service changed. See new profile
All Inspections
7 April 2017
During a routine inspection
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
20 September 2016
During a routine inspection
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. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were generally assessed and well managed. However we saw no evidence that all staff had received up to date training in infection prevention and control and infection control audits had not been undertaken.
- Blank prescriptions were securely stored although there was no monitoring of loose prescriptions.
- The practice assessed risks associated with the premises well although there was no electrical safety certificate for the building. Following our inspection, we saw evidence that a visit had been arranged to perform the necessary electrical safety checks.
- The practice had medications and equipment in place to respond to emergencies and major incidents, however, we noted that the portable oxygen cylinder was out of date and the remaining two oxygen cylinders were less than half-full.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Update training for clinical staff was out of date in the areas of cervical cytology, vaccinations and immunisations and family planning. The practice told us that they were currently attempting to address this.
- The information needed to plan and deliver care and treatment was largely available to relevant staff in a timely and accessible way. However, it had been agreed that administration staff could remove some patient blood test results that were within normal ranges including liver and thyroid function tests. This was done without a written practice protocol.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Staff sought patients’ consent to care and treatment mostly in line with legislation and guidance, although only verbal consent was obtained and recorded for all contraceptive implants not written consent as required.
- Improvements were made to the quality of care as a result of complaints and concerns. The practice had a complaints policy but it was not easily available to all staff. There was also no complaints poster or leaflet available in the practice waiting area for patients. The practice told us that they would ensure that a poster was displayed following our visit.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments 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 provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider must make improvement are:
- Ensure that all patient test results are viewed by a suitably qualified clinician.
- Ensure that clinical staff receive appropriate update training as is necessary to enable them to carry out their duties effectively.
The areas where the provider should make improvement are:
- Obtain and record written patient consent for contraceptive implants in line with current guidance.
- The practice should minimise the risks that may be associated with the security of blank prescription forms.
- Improve the availability and management of oxygen cylinders for emergency use. Obtain a current building electrical safety certificate.
- Carry out infection control audit activity to demonstrate compliance with practice infection control policy and procedure and provide regular full infection control training to staff.
- Make information easily available for patients and staff regarding the practice complaints procedure.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
13 September 2013
During a routine inspection
Patients told us they were treated with dignity and respect. Their GP's were very good and listened to them. They said, 'She (GP) is exceptionally good at explaining things. I don't get lost in technical terms'. Gender issues were considered. 'There are times when I prefer a male doctor for 'man things', and this is always arranged'.
People's care and treatment reflected relevant research and guidance. This meant where a patient diagnosis could not be treated by the GP, patients were referred on to another service such as a consultant at a hospital. The practice took a positive approach to ensure the needs of the most vulnerable patients with mental health, dementia or communication difficulties were met.
All staff employed were subjected to character checks and trained staff had their registration to practice verified.
A system to assess and monitor the quality of service that people received was in place and people's views listened to. The practice manager gave an assurance all policies and procedures would be in place and areas of compliance we discussed during the review would be acted upon.