The Mazhari and Khan Practice

Updated 3 March 2016

The Mazhari and Khan Practice is located close to Manchester city centre. The practice is located on the ground floor of a health centre which is managed by NHS Properties Ltd. The practice is in a highly deprived area.

There are two other GP practices located in the same building with a range of community clinics providing services. The practice is fully accessible to those with mobility difficulties. There is a car park behind the practice with disabled parking spaces.

The practice has two male GP partners. There is one nurse and one assistant practitioner. Members of clinical staff are supported by one practice manager and reception staff.

The practice is open 8am to 6pm Monday, Tuesday, Thursday and Friday. On Wednesdays the practice is open 8am -1pm.

The practice has a General Medical Service (GMS) contract with NHS England. At the time of our inspection 2600 patients were registered.

Patients requiring a GP outside of normal working hours are advised to call “ Go-to- Doc” using the usual surgery number and the call is re-directed to the out-of-hours service. The surgery is part of Prime Ministers GP Access scheme offering extended hours and weekend appointments to patients.

Updated 3 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Mazhari and Khan Practice on 2 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was a clear leadership structure and staff felt supported by management. The practice proactively supported staff members to carry out their roles confidently and effectively.
• Risks to patients were assessed and well managed. We saw evidence of a robust infection control process in place.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• 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.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We saw several area of outstanding practice:

• The practice had undertaken a full practice audit, to ensure each area of the practice was following current and up to date legislations and processes, with changes implemented as a direct result.
• The practice devised a Deprivation of Liberty Safeguards (DOLs) notification form which they issued to residential homes to be completed if the residential home applied for DOLs to one of their patients.
• The practice was extremely proactive and reactive in monitoring and checking of referral and follow ups of patients. In cases where patients had not attended the hospital the practice would personally contact the patient and offer guidance, information and support.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 March 2016

The practice is rated as good for the care of 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.
• The healthcare assistant supported the nurses to help in the education of patients with long term conditions and clinics.
• The percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/80 mmHg or less(01/04/2014 to 31/03/2015) was 95% compared to the national average of 78%.
• Longer appointments and home visits were available when needed.
• Patients had a six monthly or annual review with either the GP and/or the nurse to check that their health and medication.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 3 March 2016

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.
• The percentage of patients with asthma, on the register, who have had an asthma review in the preceding 12 months that includes an assessment of asthma control using the 3 RCP questions. (01/04/2014 to 31/03/2015) was 78% compared to national average of 75%.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working with midwives and health visitors.

Updated 3 March 2016

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.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The practice participated in meetings with other healthcare professionals and social services to discuss any concerns.
• There was a named GP for the over 75s with longer appointments when required.

Updated 3 March 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The practice had extended hours, with appointments starting three days a week at 8am.
• The practice offered online access to make an appointment or order prescriptions.
• 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.

Updated 3 March 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• 100% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which is above the national average of 84%.
• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 3 March 2016

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 those with a learning disability.
• The practice offered longer appointments for patients with a learning disability, for example arranging appointment times around the patient’s needs.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• The practice informed vulnerable patients 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.