Background to this inspection
Updated
22 September 2016
Dr MME Fahmy & Dr SS Patel’s Practice is situated in Sheerness, Kent and has a registered patient population of approximately 4,500.
The practice staff consists of one principal GP, one salaried GP, one practice nurse, one healthcare assistant, one practice manager as well as administration and reception staff. Dr Fahmy has retired and the practice is in the process of changing their registration accordingly with the Care Quality Commission. There is a reception and a waiting area on the ground floor. All patient areas are accessible to patients with mobility issues as well as parents with children and babies.
The practice is not a teaching or training practice (teaching practices take medical students and training practices have GP trainees and Foundation Year Two junior doctors).
The practice has a general medical services (GMS) contract with NHS England for delivering primary care services to local communities.
Primary medical services are provided Monday to Friday between the hours of 8am to 6.30pm. Extended hours surgeries are offered Tuesday 6.30pm to 7.40pm. Primary medical services are available to patients registered at Dr MME Fahmy & Dr SS Patel’s Practice via an appointments system. There are a range of clinics for all age groups as well as the availability of specialist nursing treatment and support. There are arrangements with other providers (Medway On Call Care) to deliver services to patients outside of Dr MME Fahmy & Dr SS Patel’s Practice’s working hours.
Services are provided from Sheerness Health Centre, 250 – 262 High Street, Sheerness, Kent, ME12 1UP only.
Updated
22 September 2016
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr MME Fahmy & Dr SS Patel’s Practice on 5 May 2015. Breaches of the legal requirements were found. Following the comprehensive inspection, the practice wrote to us to tell us what they would do to meet the legal requirements in relation to the breaches.
We undertook this focussed inspection on 19 July 2016, to check that the practice 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 MME Fahmy & Dr SS Patel’s Practice on our website at www.cqc.org.uk.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
10 September 2015
The practice is rated as good for the care of people with long-term conditions. There were emergency processes and referrals made for patients in this group that had a sudden deterioration in health. When needed, longer appointments and home visits were available. All these patients had structured annual reviews to check their health and medication needs were being met. For those patients with the most complex needs, the GPs worked with relevant health and care professionals to lead and deliver a multidisciplinary package of care.
Families, children and young people
Updated
10 September 2015
The practice is rated as good for the care of families, children and young people. There were systems 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 accident and emergency (A&E) attendances. Immunisation rates were relatively high for all standard childhood immunisations. Children and young people were treated in an age appropriate way and recognised as individuals. Appointments were available outside of school hours and the premises were suitable for children and babies. There were emergency processes and referrals made for children and pregnant women who had a sudden deterioration in health.
Updated
10 September 2015
The practice is rated as good for the care of 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, dementia and end of life care. The practice was responsive to the needs of older people, including offering home visits and rapid access appointments for those with enhanced needs. There were appropriate and effective treatments, along with ongoing support; such as medical reviews, referrals when necessary and review clinics, for those patients diagnosed with dementia, diabetes and other illnesses.
Working age people (including those recently retired and students)
Updated
10 September 2015
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 help 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 patient population group.
People experiencing poor mental health (including people with dementia)
Updated
10 September 2015
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 patients experiencing poor mental health including those with dementia. The practice had advance care planning for patients with mental health conditions, including dementia.
The practice had sign-posted patients experiencing poor mental health to various support groups and charitable organisations. Staff had received training on how to care for people with mental health needs and dementia.
People whose circumstances may make them vulnerable
Updated
10 September 2015
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 people living in deprived circumstances and those with learning disabilities. The practice carried out annual health checks and offered longer appointments if required, for people with learning disabilities.
The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. The practice had sign-posted vulnerable patients to various support groups. 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 and out of hours.