16/10/2019
During a routine inspection
We carried out an announced comprehensive inspection at Dr Usman Akbar on 16 October 2019.
In February 2019, Dr Usman Akbar became the new provider of GP services at a location which was inspected by the Care Quality Commission on 3 July 2018. The location which was known as Hillside Bridge Surgery had been rated as inadequate and placed in special measures. Dr Usman Akbar was chosen as the preferred provider to manage and improve this service through a process managed by Bradford City Clinical Commissioning Group.
We carried out an announced comprehensive inspection of Dr Usman Akbar on 16 October 2019. During the inspection, we paid particular attention to the concerns and breaches of regulation 12: Safe Care and Treatment and Regulation 17: Good Governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. A warning notice had been issued to the previous provider and a further inspection undertaken on 19 September 2018. When Dr Usman Akbar was awarded the contract to manage the Hillside Bridge Surgery location, numerous concerns had not been addressed by the previous provider. This included, but was not limited to, concerns regarding the health and safety of patients, the lack of appropriate systems to safeguard children and vulnerable adults from abuse, the management of medicines, prescription stationery, Disclosure and Barring service (DBS) checks and the management of infection prevention and control.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
- At this inspection on 16 October 2019, we saw that all issues and breaches of legislation, which had been previously noted at the Hillside Bridge location had been acted upon. The new provider Dr Usman Akbar, had also responded to patient feedback and identified further areas for improvement within the service.
- The practice provided care in a way that kept patients safe and protected them from avoidable harm. Staff told us they felt safe working at the practice and were supported by visible and approachable leaders.
- Patients received effective care and treatment that met their needs. Outcomes for patients were regularly monitored.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care. We were told of several examples where staff went ‘the extra mile’ to support patients.
- The practice organised and delivered services to meet and respond to patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, compassionate, person-centre care.
We saw areas of outstanding practice.
In a hard to reach population which had suffered with a recent measles outbreak, for 2018/2019 the practice had exceeded the World Health Organisation based national target of 95% (the recommended standard for achieving herd immunity) for all four childhood immunisation uptake indicators and uptake was 100%.
The practice had increased their engagement with patients. A junior patients’ newsletter had been developed by the patient engagement lead to encourage younger patients to become involved in the practice. It included health tips, word searches and a competition. Younger patients could complete a mock ‘prescription’ whilst waiting with their parent or carer.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care