Archived: Dr Khashayar Ghaharian

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Khashayar Ghaharian on 18 May 2016 and 15 June 2016. Overall the practice is rated as good.

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

• The practice had systems in place to enable staff to effectively report and record significant events. Learning from significant events was shared internally and externally.
• Risks to patients were assessed and managed. The practice worked with the health centre management to review risks on an ongoing basis to ensure patients and staff were kept safe.
• Staff delivered care and treatment in line with evidence based guidance and local guidelines. Training had been provided for staff to ensure they had the skills and knowledge required to deliver effective care and treatment for patients.
• Feedback from patients was that they were treated with kindness, dignity and respect and were involved in decisions about their care.
• Information about services and how to complain was available and easy to understand. Complaints were dealt with promptly and the practice demonstrated they were keen to meet with complainants to ensure issues were resolved as quickly as possible.
• Patients said they generally found it easy to make an urgent appointment but that they sometimes had to wait to see a named GP.
• The practice had good facilities and was well equipped to treat patients and meet their needs. Adjustments had been made to the premises to ensure these were suitable for patients with a disability.
• There was a clear leadership structure which all staff were aware of. Staff told us they felt supported by the lead GP and the practice manager. The practice proactively sought feedback from staff and patients, which it acted on.
• The practice worked closely with their patient participation group (PPG) to identify areas for improvement. The practice was responsive to suggestions from their PPG and was working with them to reduce the number of patient attendances at A&E.

However, there are areas where the practice should make improvements:

• The practice should ensure they continue to work to increase the number of identified carers

• The practice should ensure robust arrangements are in place to monitor and review stock levels of required emergency medicines.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice