Archived: Dr Roshanali Moman

Updated 10 January 2018

Dr Roshanali Moman is based at Station Road Surgery, 33b Station Road, Barnet, EN5 1PH and provides GP services under a General Medical Services contract. The surgery has private parking for those with a disability available directly in front of the building. There is step-free access from the street to the waiting area and one of two clinical rooms.

Dr Roshanali Moman at Station Road Surgery is one of a number of GP practices commissioned by Barnet Clinical Commissioning Group (CCG). It has a practice list of 1856 registered patients.

The practice is in the fourth least deprived decile out of 10 on the national deprivation scale.

The practice has a similar percentage of unemployed patients (6.1%) compared to the local and national averages of 5.4%.

The clinical team includes one male principal GP who provides 10 sessions per week and one female practice nurse. The practice is led by a practice manager and a secretary and receptionists provide non-clinical support. If patients requested to see a female GP, the practice used an agreement with a nearby practice to provide this.

The practice is open during the following hours:

Monday, Tuesday, Wednesday and Friday – 9am to 1pm and from 5pm to 7pm

Thursday – 9am to 1pm

Saturdays – 9.30am to 11am

Appointments are available during the following hours:

Monday, Tuesday, Wednesday and Friday – 9.15am to 1pm and from 5pm to 7pm

Thursday – 9.15am to 1pm

Saturdays – 10am to 11am

The practice has an agreement with a nearby hospital emergency department to provide an urgent walk-in service to relieve pressure on the department at times of high demand. Out of these hours, cover was provided by the NHS 111 service, staff at which had direct-line access to the GP.

Updated 10 January 2018

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Roshanali Moman on 13 January 2017. The provider was found to be outstanding in the provision of caring services, good in the provision of safe, responsive and well-led services and requires improvement in the provision of effective services. The overall rating for the practice was good. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Dr Roshanali Moman on our website at www.cqc.org.uk.

This inspection was a focused follow up inspection carried out on 26 October 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 13 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

• The practice had implemented an action plan to address the issues identified during the previous inspection.
• The practice had improved their approach to clinical audit and it was now seen to be driving quality improvement.
• Language interpretation services were now visibly available to any patient who needed them.
• Expired controlled drugs had been disposed of in accordance with legislation and local guidelines.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 27 April 2017

The practice is rated as good for the care of people with long-term conditions.

• Clinical staff offered chronic disease management and patients at risk of hospital admission were identified as a priority. Clinics including respiratory assessment and phlebotomy were available.
• The practice maintained a disease register and ensured patients received regular reviews.
• Performance for diabetes related indicators was similar to or better than the national average. For example the percentage of patients with diabetes in whom the last blood pressure reading (measured in the preceding 12 months) was 140/80 mmHg or less (01/04/2015 to 31/03/2016) was 83% compared to the CCG average of 76% and the national averages of 78%. In addition the percentage of patients in the same period in whom the last measured total cholesterol was 5mmol/l or less was 76% compared with the CCG average of 78% and national average of 80%.
• Patients had a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.
• Patients were offered longer appointments and staff assessed both medical and psychological needs.
• The GP and practice nurse offered a dedicated at-home palliative care service for patients that included emotional support for relatives and 24-hour telephone support.

Updated 27 April 2017

The practice is rated as good for the care of families, children and young people.

• The practice scored 8.4 out of 10 for standard childhood immunisations up to the age of two and achieved the national target of 90% in three of the four NHS England sub-indicators.
• The practice’s uptake for the cervical screening programme was 79% which was comparable to the CCG average of 78% and the national average of 81%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• The practice nurse offered a baby clinic every two weeks.
• Staff offered a text message and e-mail reminder service for baby immunisations.
• The practice provided sexual health advice and screening for young people.

Updated 27 April 2017

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with complex needs.
• The practice invited all patients over 75 years to attend an annual health check and also offered patients an annual medication review and home flu vaccinations. Health checks were comprehensive and included a review of immunisation, continence, physical function, psychological function, social needs and nutrition.
• The practice arranged for home-delivery of prescriptions for housebound patients or those with reduced mobility.

Updated 27 April 2017

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
• The practice was proactive in offering online services as well as a range of health promotion and screening that reflected the needs of this age group, including electronic prescribing and sexual health.
• A pre-travel health risk assessment service was available along with a range of travel vaccinations, including for yellow fever.
• The practice offered extended hours up to 7pm four days per week and Saturday morning appointments.
• The practice provided temporary registration for students and carers including access to urgent appointments and sexual health screening.

Updated 27 April 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• 75% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which was lower than the national average of 84%. The practice had exception reported 0% compared to the national average of 7%.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice carried out advance care planning for patients with dementia or deteriorating mental health.
• The practice told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 27 April 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, those over 75 years of age living alone and those with a learning disability. For these patients the practice offered longer appointments and an annual health check.
• The GP or practice nurse followed up every patient discharged from hospital to assess their needs and discuss strategies to avoid a readmission.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies.
• Patients who were considered vulnerable were given open-access to the surgery without the need for an advance appointment.