Khattak Memorial Surgery - Care Quality Commission

Background to this inspection

Updated 27 September 2017

Khattak Memorial Surgery, 58 Benton Road, Sparkbrook, Birmingham, West Midlands, B11 1TX, provides services for 4822 patients. The provider operates from two locations, both of which were visited as part of this inspection and are situated within the Birmingham South and Central Clinical Commissioning Group. The provider delivers primary medical services under the terms of a Personal Medical Services (PMS) contract.

Services are provided within converted buildings which have been adapted to provide access for people with limited mobility. Both the main location at Sparkbrook and the branch surgery, located at 182 Mansel Road, Small Heath, Birmingham, B10 9NL are owned by the partners. The provider is located in an inner city area to the central south east of Birmingham.

Information published by Public Health England rates the level of deprivation within the practice population group as one on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The population is mainly of South Asian ethnicity, currently 90%, with the remaining population being of east European or African ethnicity. Khattak Memorial Surgery is registered as a partnership provider and has three partner GPs (two male and one female), with two salaried GPs (both female).

The practice also has a part time female practice nurse who works 28 hours a week plus a female specialist domiciliary care worker who works 17 hours a week. A locum pharmacist attends for one afternoon a week and a female health care assistant works 30 hours a week and divides her time between phlebotomy, smoking cessation advice and reception duties.

The practice manager is supported by five predominantly part time reception and administrative staff.

The practice at Benton Road is open Monday and Tuesday, 8am to 7pm, Wednesday 8am to 7.30pm, Thursday and Friday from 8am to 6.30pm. Consultations are available from Monday 9am to 1pm, 2pm to 5pm, 4pm to 7pm, Tuesday 9am to 1pm, 4pm to 7pm, Wednesday 9.30am to 12.30pm, 1.30pm to 7.30pm, Thursday 9.30am to 6.30pm, Friday 9.30am to 12.30 and 3.30pm to 6.30pm. The branch practice in Small Heath is open from 10am to 2pm, Monday to Friday and consultations are available on Monday between 10.30am to 1pm, Tuesday 11.30am to 2pm, Wednesday 11.30am to 2pm, Thursday 10am to 1pm and Friday 10am to 1pm.

When the surgery is closed patients are advised of the NHS 111 service for non –urgent medical advice and are directed to a local out of hours provider, Primecare.

Overall inspection

Good

Updated 27 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Khattak Memorial Surgery on 17 January 2017. Overall the practice was rated as requires improvement. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Khattack Memorial Surgery on our website at www.cqc.org.uk.

This inspection was a follow up focused inspection carried out on 22 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 17 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice rating is now good.

Our key findings were as follows:

Staff were aware of the location of emergency equipment to assure themselves that they all knew how to assist in the event of an emergency. We were shown evidence that demonstrated this had been discussed in staff meetings and staff had been physically shown the location.
The practice had reviewed the information governance policy to ensure that staff undertook the recording and management of all patient data in accordance with recommended guidance.
The practice had introduced an appropriate method of recording fridge temperatures, cleaning activity and safeguards against the risk of legionella to ensure that the practice was accountable and auditable.
Cleaning checks were recorded daily.
The practice continued to address issues raised in the national patient survey and explore ways to gather up to date patient feedback to assure themselves that improvements were implemented, reviewed and sustained. For example, from September 2017, the practice’s telephone lines would be open 30 minutes earlier.
Registration details have been updated with the Care Quality Commission to include all current GP partners in the practice.
Regular fire drills had been implemented at the branch site.
The practice had improved the availability of copies of the business continuity plan at both sites managed by the provider to cover eventualities such as power failure or another unforeseen eventuality. Copies were kept within the practice and off-site by GP partners and the practice manager.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice