Archived: Dr Sirri Surgery

Updated 27 July 2018

Dr Sirri Surgery is an independent healthcare service which offers medical examinations, consultation, advice, and counselling. It’s patients are predominantly Kurdish and Turkish speaking with family links to Turkey, the Middle East and Cyprus. There are also some Greek and Greek Cypriot patients.

The practice is registered with the Care Quality Commission to carry on the regulated activities of Treatment of disease, disorder or injury, Family planning, and Diagnostic and screening procedures.

The Provider was previously inspected in September 2015 and was found to be compliant in all areas.

The surgery operates from premises in St Ann's Road, London, N15 3TA.

Patients attend the surgery through the surgery reception area and use the surgery waiting room until called for their appointment.

The staff team at the surgery included one male GP, a female practice nurse, a practice manager and a team of administrative staff (all working a mix of full time and part time hours).

The opening times of the surgery are as follows:

Monday, Wednesday, Thursday and Friday 10am to 6pm; Tuesday 10am to 1pm.

Appointments were from 10am to 1pm and (other than Tuesday) 3pm to 6pm.

Extended hours surgeries were offered as requested by patients and the GP amended his daily working hours in response to the needs of his patients. In addition pre-bookable appointments could be booked up to two weeks in advance and urgent appointments were also available for people that needed them.

An out of hours service was not provided but patients could access the local walk in centre or the local accident and emergency department.

The inspection took place over one day on the 5th April 2018. The inspection team consisted of a lead CQC inspector and a GP specialist advisor.

The provider sent information regarding the management of the surgery beforehand which was reviewed before the inspection. There were no concerns given to the Care Quality Commission from community groups, patients or other stakeholders before the inspection was undertaken.

During our visit we spoke with the doctor, the nurse and practice manager. We checked storage of records, operational practices and reviewed patient care records. We looked at policies and procedures, staff recruitment and training records and complaints received by the provider.

All of the 22 patient CQC comment cards we received were positive about the service experienced. Patients said they felt the practice offered an excellent service and staff were helpful, caring and treated them with dignity and respect.

We also spoke with two patients on the day of our inspection. They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected. Comment cards highlighted that staff responded compassionately when they needed help and provided support when required.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 27 July 2018

We carried out an announced comprehensive inspection on 05 April 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Dr Sirri Surgery provides an independent healthcare service which offers medical examinations, consultation, advice, and counselling which patients pay for privately.

The staff team at the surgery included one male GP, a female practice nurse, a practice manager and a team of administrative staff (all working a mix of full time and part time hours).

On the day of the inspection we received twenty two Care Quality Commission (CQC) comment cards from patients of the surgery. All the cards were positive and most commented on the friendliness, efficiency and the professionalism of the staff. Several mentioned that they would recommend the surgery to a friend.

Our key findings were:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed, so that safety incidents were less likely to happen. When incidents did happen, the surgery learned from them and improved processes.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Staff involved patients with their procedures and treated them with kindness, dignity and respect.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with the GP and that there was continuity of care, with urgent appointments available the same day.
• The surgery 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 surgery proactively sought feedback from staff and patients, which it acted on.
• Policies and procedures had been thoroughly reviewed and applied.
• Staff were valued and appropriately trained for their roles.
• There was an increasing patient demand for the surgery from an increasing geographical area.