Archived: Dr Syed Abdi Also known as Anfield Group Practice

Updated 17 May 2017

Dr Syid Abdi, known locally as Anfield Group Practice is registered with CQC to provide primary care services, which include access to GPs, family planning, ante and post-natal care. The practice is a long established GP practice working in the centre of Liverpool in a newly purpose built building and in a deprived area of the city. The practice has a General Medical Services (GMS) contract with a registered list size of 4,617 patients (at the time of inspection). The practice had a high proportion of patients between the ages of 25-34. The practice offers a range of enhanced services including minor surgery, flu vaccinations, timely diagnosis of dementia and learning disability health checks.

The practice has two GP partners, a nurse clinician, practice nurse and health care assistant, practice and finance manager and a number of administration and reception staff. The practice provides a minor surgery service to a number of practices across the city. The practice has open access appointment for GPs for urgent cases each morning. Bookable appointments are available daily. Home visits and telephone consultations are available for patients who required them, including housebound patients and older patients. There are also arrangements to ensure patients receive urgent medical assistance out of hours when the practice is closed.

Updated 17 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Syed Abdi, known locally as Anfield Group Practice on 23 March 2016. While the overall rating for the practice was good, the practice was rated as requires improvement for Safety. The full comprehensive report on the 23 March 2016 inspection can be found by selecting the ‘all reports’ link for Dr Syed Abdi on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 29 March 2017. The inspection was carried out to check that the provider had met the legal requirements we set out following the March 2016 visit. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

Our key findings were as follows:

• The records made of the reporting of significant events had improved to ensure fuller detail was captured and the learning opportunity for staff was promoted.

• Staff files had been reviewed and updated information was added to show the full and completed recruitment undertaken for new staff members. For example, proof of identification, evidence of satisfactory conduct in previous employments in the form of references, qualifications, registration with the appropriate professional body and the appropriate checks through the Disclosure and Barring Service (DBS).
• The practice had oxygen equipment on site for use in an emergency situation.

As a result of the actions taken the practice is now rated as ‘good’ for providing a safe service.

We also found that the provider had made a number of improvements to the service in response to recommendations we made at our last inspection. These included;

• At our inspection on the 23 March 2016 we said the provider should review the system in place for complaints to ensure a full record of each complaint made was logged in line with the practice policy. At the inspection undertaken on the 29 March 2017 we found the practice had revised the system in place for handling complaints and concerns. A complaints policy and procedure was now in place. We looked at a sample of two complaints received in the last 12 months. We found the records made of the stages the practice had gone through, had improved in terms of written details. A much fuller audit trail of steps taken by the practice in response to the complaint and issues raised was seen. The practice manager confirmed that complaints were now discussed at practice meetings and an annual review of complaints was planned.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 16 June 2016

The practice is rated as good for the care of people with long-term conditions. Nursing staff were appropriately trained and had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. The practice provided a named GP to ensure continuity of care. They work with outside agencies to ensure patients were supported and receive a high quality of care within the community. These include district nurses, heart failure team and a neighbourhood team made up of both Health and Social care staff. Patients with long term conditions were provided with literature and disease specific information to enable self-management of conditions. For example, patients with lung disorders were given self-management plans and rescue packs of antibiotics in case of exacerbation at home. Care plans were in place for at risk patients which permits information sharing with the wider community team. Initial appointments were made with the GP followed by regular review by the nurses at the practice.

Updated 16 June 2016

The practice is rated as good for the care of families, children and young people. Weekly mother and baby clinics for baby and postnatal checks were provided. 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. Immunisation rates were good for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. For babies and young children up to the age of 5 an appointment to attend was provided at the end of the morning to avoid long waits. Appointments were also available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives, health visitors and school nurses.

Updated 16 June 2016

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs. The practice has participated in the Avoiding Unplanned Admission enhanced service as proposed by NHSE. This involves co-ordinated working between GPs, practice nurses, district and mental health nurses and wider primary care health team as well as social services and secondary care input to focus on the needs of the vulnerable elderly patients. The practice recently invested in a Pharmacist to provide support to the practice for the review of patient’s medicines in particular for older patients. The practice had named GPs for all patients and also specifically for those over the age of 75 years. The Practice offers a variety of health checks for older people specifically memory screening and osteoporosis risk assessments.

Updated 16 June 2016

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 offers a telephone consultation service every day as well as pre-bookable appointments for morning and afternoon surgeries . The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group. The practice also used the Electronic Prescribing System, increasing convenience for patients who might work during the day.

Updated 16 June 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia and has a mental health register of patients. The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health.

Updated 16 June 2016

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 and those with a learning disability. It offered longer appointments for people with a learning disability. The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told 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 in normal working hours and out of hours.