Archived: Dr Faisal Yunas Also known as Heathview Medical Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Faisal Yunas practice on 7 March 2016. Overall the practice is rated as Good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the Care Quality Commission (CQC) at that time.

Our key findings were as follows:

• The practice had recently merged with another GP practice.
• 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. Risks to staff and patients were documented. Infection control, chaperoning and legionella testing assessments were not complete.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received some training appropriate to their roles but a training needs analysis had not been completed.
• Patients said they were treated with 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 told us they could get an urgent appointment when they needed one but a small number of patients mentioned difficulties when contacting the practice by telephone.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff understood their roles and responsibilities.

We saw a number of areas where the practice must make improvements.

The practice must:

• Complete a disclosure and barring service (DBS) check or a comprehensive risk assessment for all staff who act as chaperones.

We saw a number of areas where the practice should make improvements.

The practice should:

• Adopt nationally recognised guidelines when completing infection prevention control audits.

• Perform regular checks on the water system to minimise the risk of legionella.

• Include children’s pads for the defibrillator as part of the emergency equipment.

• Introduce a tracking system for prescription forms and pads.

• Identify and plan training for individual staff members.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice