Archived: Dr Emad Gabrawi Also known as Crookes Valley Medical Centre

Updated 21 October 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 12 May 2015. 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 the regulatory breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014 Regulation 15 Premises and equipment. We undertook a desk top review on 30 September 2016 to check that they had followed their plan and to confirm that they now met the legal requirements.

This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Emad Gabrawi on our website at www.cqc.org.uk.

Overall the practice is rated as Good. Specifically, following the focused desk top inspection we found the practice to be good for providing safe services. Our key findings across all the areas we reviewed were as follows:

• A fire risk assessment was  completed in September 2015  and an infection prevention and control audit was completed in June 2015. The practice documented and shared with us  actions taken in accord with the findings.

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Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 23 July 2015

The practice is rated as good for people with long term conditions. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. All these patients had a structured annual review to check their health and medication needs were being met. For those people with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 23 July 2015

The practice is rated as good for the care of families, children and young people. 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 relatively high for all standard childhood immunisations. Patients told us children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. The practice offered a drop in clinic for children aged five and under once a week.

Updated 23 July 2015

The practice is rated as good for the care of older people. Nationally reported data showed 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.

Updated 23 July 2015

The practice is rated as good for 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 was proactive in offering online services as well as a full range of health promotion and screening which reflected the needs for this age group.

Updated 23 July 2015

The practice is rated as good for people experiencing poor mental health (including people with dementia). Of people experiencing poor mental health, 87% had received an annual physical health check. The practice regularly worked with multidisciplinary teams in the case management of this patient group, including those with dementia. It carried out advance care planning for patients with dementia.

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) whilst they may have been experiencing poor mental health. Staff had attended information sessions on how to care for people with mental health needs and dementia.

Updated 23 July 2015

The practice is rated as good for 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 had carried out annual health checks for people with a learning disability and all of these patients had received a follow-up. This group of patients were also offered longer appointments.

The practice regularly worked with multidisciplinary teams in the case management of adults whose circumstances may make them vulnerable These patients' had been told 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.