The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Sadiq Ali Also known as Church Street Surgery

Overall: Good read more about inspection ratings

Church Street Surgery, 57 Church Street, Hunslet, Leeds, West Yorkshire, LS10 2PE (0113) 271 1884

Provided and run by:
Dr Sadiq Ali

All Inspections

24 August 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Dr Sadiq Ali at Church Street Surgery on 24 August 2015. Overall the practice is rated as good.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management.

There were areas of practice where the provider should make improvements:

  • The practice should ensure that accurate information is submitted regarding performance against the Quality and Outcomes Framework.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

16 October 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

This was an announced inspection visit on 16 October 2014. Unfortunately we found there was insufficient evidence available for us to be able to make a judgement across all domains and all population groups to enable us to rate this practice. We did have enough evidence to assess the safe domain have therefore made a judgement on this aspect of the service, which we have rated as being inadequate.

We found:

  • The reception staff knew patients well. Patients were welcomed by name when arriving at the practice for an appointment and it was clear they had a good relationship with the reception staff.
  • The practice had a process in place to identify carers and information was available to support people who had caring responsibilities.
  • The practice had a system in place to ensure patients were recalled appropriately for reviews to monitor long term conditions.

However, we found that the practice did not have the arrangements in place that would assure that all patients were safe and as a result have rated this aspect of the service as being inadequate.

Importantly, the provider must:

  • Take action to ensure that people who use the service are protected by operating effective recruitment and selection procedures that includes relevant checks being carried out such as DBS checks when staff are employed.
  • Take action to ensure they have effective systems in place to regularly assess and monitor the quality of services provided and identify and manage risks.
  • Take action to provide all staff with infection control training, ensure infection control audits take place on a regular basis, and update policies and procedures to ensure they are specific to the practice.

As we were not able to complete the inspection we will be re-visiting the practice in order to ascertain if it has made improvements with respect to safety and to be able to gather sufficient evidence to rate the four remaining domains effective, caring, responsive and well led, as well as ratings for all the population groups.

The provider should also:

Ensure that all staff recognise what is a serious untoward incident. For staff to be able to accurately report them, record them and for the management team to discuss with staff the incident and cascade any learning to all staff to improve practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice