Background to this inspection
Updated
28 February 2018
The practice of Dr Samir Naseef, known locally as Orient House Medical Centre provides primary medical services in Bolton, Greater Manchester from Monday to Friday.
Orient House Medical Centre is situated within the geographical area of Bolton Clinical Commissioning Group (CCG).
The practice has a Personal Medical Services (PMS) contract. The PMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.
Orient House Medical Centre is responsible for providing care to 3242 patients (increased from 3111 at the last inspection).
Information taken from Public Health England placed the area in which the practice is located as third on the deprivation scale of one to ten. (The lower the number the higher the deprivation). In general, people living in more deprived areas tend to have greater need for health services. 35% of patients were from a black and minority ethnic group.
The practice consists of a male lead GP, one long term male locum GP and has recently recruited a female salaried GP. There are two part time practice nurses and a health care assistant and a practice manager who started with the practice the day after the inspection in June. An administration team including receptionists support the running of the practice.
When the practice is closed patients are directed to the out of hour’s service provided by BARDOC (Bury and Rochdale Doctors On Call).
The practice is part of a group of practices who offer appointments with a GP and practice nurse seven days a week. It also belongs to a group of small practices who provide GP cover for each other during sickness and holidays.
Updated
28 February 2018
Letter from the Chief Inspector of General Practice
We carried out a comprehensive inspection as part of our inspection programme at the practice of Dr Samir Naseef on 26 August 2016 which was rated as requires improvement overall. The key questions were rated as:
Safe – requires improvement
Effective – requires improvement
Caring – good
Responsive – requires improvement
Well led – requires improvement
We carried out focused follow up inspections on 1 June 2017 and 17 November 2017 where we found the practice had made significant improvements but there were still improvements needed in the key question safe. The full comprehensive and follow up reports for these inspections can be found by selecting the ‘all reports’ link for Dr Samir Naseef on our website at www.cqc.org.uk.
At this inspection the area that required improvement was:
- The provider did not hold information such as ID, references, DBS checks in the files of all its employees.
This inspection was an announced focused inspection carried out on 5 February 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 17 November 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
- .The provider had introduced a policy where information, such as ID, references and DBS checks would be held for new staff and, where appropriate existing staff. We saw evidence that two new members of clinical staff had started employment with the practice and the personnel files now included the required documentation such as ID, references and DBS checks
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
27 December 2017
The provider had resolved the concerns for effective services identified at our inspection on 17 November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Families, children and young people
Updated
27 December 2017
The provider had resolved the concerns for effective services identified at our inspection on 17 November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Updated
27 December 2017
The provider had resolved the concerns for effective services identified at our inspection on 17 November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Working age people (including those recently retired and students)
Updated
27 December 2017
The provider had resolved the concerns for effective services identified at our inspection on 17 November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People experiencing poor mental health (including people with dementia)
Updated
27 December 2017
The provider had resolved the concerns for effective services identified at our inspection on 17 November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People whose circumstances may make them vulnerable
Updated
27 December 2017
The provider had resolved the concerns for effective services identified at our inspection on 17 November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.