Background to this inspection
Updated
17 October 2018
Dr Mokashi is the registered provider and provides primary care services to its registered list of 6,500 patients. The surgery is located on the ground floor of Clayton Health Centre which is managed by NHS Properties Ltd and also hosts two other GP practices.
The practice is situated in an area at number one on the deprivation scale (the scale categorises between one and ten, lower the number, the higher the deprivation), which supports a high turnaround of patients who are seeking asylum. The practice sees higher than average health problems in chronic obstructive pulmonary disease (COPD- name for a collection of lung diseases), drug and alcohol addiction and a range of mental health issues.
The General Medical Services (GMS) contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; surgical procedures; maternity and midwifery services, family planning and treatment of disease, disorder and injury.
Regulated activities are delivered to the patient population from the following address:
Clayton Health Centre
89 North Road
Clayton
Manchester
M11 4EJ
www.drshanifandbannuru.co.uk
Updated
17 October 2018
This practice is rated as Good overall. (Previous rating October 2016 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Dr Mokashi.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice had systems in place to review and assess significant events and complaints, with annual reviews taking place.
- Patient Group Directions (PGDs), which allow nurses to administer medicines in line with legislation, had not been updated to reflect changes in staff. However, this was resolved on the day of the inspection.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Clinical audits were effective and maintained by clinicians to drive patient education and to follow national guidance.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- The practice had an established and well attended Patient Participation Group (PPG).
- Patients found the appointment system easy to use and most reported that they were able to access care when they needed it.
The areas where the provider should make improvements are:
- Improve the electronic audit trail for responding to missed appointments of vulnerable children and adults.
- Develop an uncollected repeat prescription process.
- Formalise training requirements for GPs in immunisations and vaccinations.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.
People with long term conditions
Updated
17 October 2018
Families, children and young people
Updated
17 October 2018
Working age people (including those recently retired and students)
Updated
17 October 2018
People experiencing poor mental health (including people with dementia)
Updated
17 October 2018
People whose circumstances may make them vulnerable
Updated
17 October 2018