Archived: Dr Roshanali Moman

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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Roshanali Moman, Station Road Surgery on 13 January 2017. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff used an effective system to report and investigate significant events and there was an up to date policy in place. The practice had documented two significant events in the previous 12 months and could evidence learning from both.
• Risks to patients were assessed and well managed, including through medicines management and safeguarding processes.

• 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.
• There was evidence of multidisciplinary working to meet the complex needs of patients, including vulnerable people and those who received palliative care.
• Patients provided positive feedback about the caring nature of staff and said they took the time to listen to their concerns. We saw staff treated people with compassion, dignity and respect and involved them in care planning and decisions about their treatment.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• There was a clear leadership structure and the small team meant all staff worked well together and maintained up to date knowledge of national guidance. It also meant the whole team were involved in updates to policies.
• The provider was aware of and complied with the requirements of the duty of candour.
• The practice achieved consistently high GP patient survey results.

The areas where the provider should make improvement are:

• Ensure audits are completed to a minimum of two cycles and to a standard that ensures improvements are identified and embedded.
• Ensure language interpretation services are available to patients as needed.
• Ensure expired controlled drugs are disposed of immediately and in line with local pharmacy guidelines.

We also found areas of outstanding practice:

• In 2016 NHS England rated the practice third in the country for GP survey results, which included significantly better results than clinical commissioning group and national averages.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice