Archived: Dr Abdul Raouf Ismail Al Sayed

Updated 26 September 2016

Brimpton House Surgery is situated in Kelvedon, Essex. The practice is one of 48 GP practices in the Mid Essex Clinical Commissioning (CCG) area. The practice has a general  medical services (GMS) contract with the NHS. There are approximately 3000 patients registered there.

The practice has one GP working at the practice with the occasional use of a locum GP. There is one practice nurse supported by two healthcare assistants, one of whom is also a receptionist. The clinical staff are supported by a practice manager and a deputy practice manager and a number of receptionists and administration staff.

The practice is open for appointments 8.30am to 5.30pm on weekdays and one late evening takes place each Wednesday until 8pm. The practice is closed at weekends.

The practice has opted out of providing 'out of hours’ services to their own patients. If emergency medical help is required patients call the main practice telephone number and they are directed to an out of hour’s service. Otherwise non-urgent medical advice is available using the 111 system.

Updated 26 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Brimpton House Surgery on 31 March 2015. Overall the practice is rated as good.

Specifically, we found the practice requires improvement for providing safe services and good for providing effective, caring, responsive and well-led services. It was also good for providing services for older people, people with long-term conditions, families and young children, working age people, people whose circumstances made them vulnerable and those suffering from poor mental health.

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, reviewed and addressed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.
• Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• 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 the appointment system easy to use with urgent appointments available the same day.
• The practice were aware of their performance data and knew where improvements were required and were taking steps to achieve them

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must;

• Ensure recruitment processes are more robust including a consistent approach to taking references, undertaking disclosure and barring service checks, checking qualifications and the completion of induction programmes for new staff.

Importantly the provider should;

• Ensure governance issues and safety incidents and complaints, discussed at meetings are clearly documented to ensure actions required are not missed and that there are clear lines of accountability for action.

• Establish a written policy for the review of medications including the monitoring of those medications that need regular blood or other tests.

• Undertake a legionella risk assessment and implement risk prevention measures if required.

• Complete an analysis of the patient survey undertaken in November 2014 and produce an action plan and timescales for improvements

• Establish a system to obtain feedback from staff about the services provided at the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 9 July 2015

The provider is rated as good for effective, caring, responsive and well-led overall and this includes for this population group. The provider was rated as requires improvement for safety. The concerns which led to these ratings apply to everyone using the practice, including this population group.Patients with such conditions were recorded on a register and their healthcare needs reviewed annually or sooner if required. 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. For those patients with complex needs, the practice worked with relevant health and care professionals to deliver a multidisciplinary package of care. Patients were signposted to external organisations that provided support. Patients with palliative care needs were regularly monitored and relatives and carers involved in the planning of their treatment. The practice had plans in place to improve the monitoring of patients with diabetes.

Updated 9 July 2015

The provider is rated as good for effective, caring, responsive and well-led overall and this includes for this population group. The provider was rated as requires improvement for safety. The concerns which led to these ratings apply to everyone using the practice, including this population group. There were systems in place to identify children vulnerable to abuse. Staff had received safeguarding training. Immunisation rates were average across the area for all standard childhood immunisations. Appointments were available outside of school hours and the premises were suitable for children and babies. Partnership working with community midwives and health visitors took place regularly.

Updated 9 July 2015

The provider is rated as good for effective, caring, responsive and well-led overall and this includes for this population group. The provider was rated as requires improvement for safety. The concerns which led to these ratings apply to everyone using the practice, including this population group. 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. Patients with palliative care needs or who were frail were monitored to reduce the risk of hospital admissions and care planned that met their needs. Regular meetings took place with other healthcare professionals to identify care requirements but these were not minuted. Patients suffering from dementia received annual health checks. Each patient over 75 had a named GP and could see a GP of their choice whenever available. Home visits and telephone consultations were available for those housebound or too ill to attend the practice. Flu and shingles vaccination programmes were readily available to help keep patients healthy.

Updated 9 July 2015

The provider is rated as good for effective, caring, responsive and well-led overall and this includes for this population group. The provider was rated as requires improvement for safety. The concerns which led to these ratings apply to everyone using the practice, including this population group.The needs of the working age population, those recently retired and students had been identified. The practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. A late evening surgery was available for those patients who had work commitments. A full range of health promotion and screening was available for patients.

Updated 9 July 2015

The provider is rated as good for effective, caring, responsive and well-led overall and this includes for this population group. The provider was rated as requires improvement for safety. The concerns which led to these ratings apply to everyone using the practice, including this population group. Patients were identified and their health monitored. People experiencing poor mental health had received an annual physical health check. A mental health counselling service attended the practice each week for patients to access. Patients at risk of developing dementia were offered health checks to enable early identification of the condition. The practice signposted patients experiencing poor mental health to various support groups and voluntary organisations.

Updated 9 July 2015

The provider is rated as good for effective, caring, responsive and well-led overall and this includes for this population group. The provider was rated as requires improvement for safety. The concerns which led to these ratings apply to everyone using the practice, including this population group.Health checks were carried out annually or sooner if necessary. Longer appointments were available for consultations if required. Patients were signposted to external organisations that provided support. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding documentation of safeguarding concerns and how to contact relevant agencies in normal working hours or out of hours.