Archived: Dr Abdul Rauf Kukaswadia Also known as Moss Way Surgery

Updated 21 July 2016

Dr Abdula Rauf Kukaswadia is situated in a deprived area of Liverpool. There were 2,517 patients on the practice list at the time of our inspection.

The practice is managed by an individual GP and the practice manager is also the practice nurse. Members of clinical staff are supported by reception and administration staff. The practice is open 8am to 6.30pm every weekday. An open access clinic is available from 8.30am to 10am every morning and pre bookable appointments are available from 4.30pm to 6pm daily. Extended surgery hours are offered on Mondays between 6.30pm to 8pm. Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service, provided by Urgent Care 24 by calling 111. The practice has a General Medical Services (GMS) contract and had an enhanced services contract which includes the delivery of childhood vaccinations. 

Updated 21 July 2016

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection of Dr Abdula Rauf Kukaswadia’s practice on 7 January 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment.

We undertook this focused inspection on the 4 July 2016 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to the requirement and issues identified in the previous report. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Abdula Rauf Kukaswadia on our website at www.cqc.org.uk.

Overall the practice is rated as good.

Our key findings were:

The practice had addressed the breaches of regulations and other issues identified during the previous inspection and made improvements including:

• Risk assessments for health and safety had been carried out and action had been taken against the risks identified such as gas, electrical and fire safety.
• The practice had oxygen for use in medical emergencies.
• The practice had updated business contingency plans.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 25 February 2016

The practice is rated as good for providing services for people with long term conditions.  The practice had registers in place for several long term conditions including diabetes and asthma. Longer appointments and home visits were available when needed. All these 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. A specialist diabetes nurse attended the practice once a month to support newly diagnosed diabetic patients.

Updated 25 February 2016

The practice is rated as good for providing services for families, children and young people. The practice regularly liaised on a monthly basis with health visitors to review vulnerable children and new mothers. The community midwife holds a weekly clinic at the practice. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances.

Updated 25 February 2016

The practice is rated as good for providing services for older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and offered home visits and care home visits. The practice participated in meetings with other healthcare professionals to discuss any concerns. There was a named GP for patients aged over 75.  

Updated 25 February 2016

The practice is as rated good for providing services for working age people. The needs of this population group had been identified and the practice had adjusted the services it offered to ensure these were accessible. For example, the practice offered evening appointments once a week, telephone consultations and online appointment bookings.

Updated 25 February 2016

The practice is rated as good for providing services for people experiencing poor mental health. Patients experiencing poor mental health received an invitation for an annual physical health check. Those that did not attend had alerts placed on their records so they could be reviewed opportunistically.  The practice worked with local mental health teams and staff had received training on suicide awareness. The practice actively screened patients for dementia and referred patients when necessary to local clinics.

Updated 25 February 2016

The practice is rated as good for providing services for people whose circumstances make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks and longer appointments and easy read information was available for people with a learning disability. Representatives from Citizens Advice attended the practice on a weekly basis and the practice was also an agent for food bank vouchers. A drugs counselling clinic was held on a weekly basis.