We carried out a review of the data available to us about Dr Karim & Dr James-Authe on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Dr Karim & Dr James-Authe, you can give feedback on this service.
This is a focused desk top review of evidence supplied by Dr Karim and Dr James-Authe for areas within the key question safe that required improvement following our full comprehensive inspection under the Health and Social Care Act 2008. At that inspection on 17 March 2016, the practice was rated good overall. However, within the key question safe, there were areas identified as requiring improvement, as the practice was not meeting the legislation at that time. The areas where the provider was told they must make improvements were as follows :
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment. The practice had a fire safety policy, fire risk assessments and had appointed two trained fire marshals. Whilst it was evident that requirements identified in the fire risk assessment for the Wyresdale Road surgery had been completed this was not the case at the Halliwell Road branch surgery. The fire risk assessment for the Halliwell Road branch surgery (conducted in June 2015) included the requirements to install a fire alarm, smoke detectors and emergency lighting at the premises. We were informed and saw evidence that these requirements were in the process of being addressed within a month of our visit. Whilst we acknowledge the provider was committed to address the risks in respect of fire safety they must take action to ensure they reduce or remove the risks within a timescale that reflects the level of risks on people who use the services. Regulation 12(2)(d)
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment. At the time of our visit oxygen was not available for emergency use at the Wyresdale Road surgery or the Halliwell Road branch surgery. Oxygen is considered essential in dealing with certain medical emergencies. The provider must ensure that oxygen is available for emergency use when planning and delivering care and, where appropriate, treatment in such a way as to ensure the welfare and safety of patients. Regulation 12(2)(h)
This is a focused desk top review of evidence supplied by Dr Karim and Dr James-Authe for the areas of improvement identified within the key question safe. We received and assessed documentation to evidence that the practice had carried out their plan and now met the required level in relation to breaches in Regulation 12.
The overall rating for the practice remains as good and the practice is now rated as good for being safe. Our key findings were as follows:
A Legionella Risk Assessment was completed on
A fire risk assessment was completed on
Actions relating to fire safety were carried out. Health and safety checks were undertaken.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Karim & Dr James-Authe on 17 March 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvement are:
Whilst we acknowledge the provider was committed to address the risks in respect of fire safety they must take action to ensure they reduce or remove the risks within a timescale that reflects the level of risks on people who use the services.
The provider must ensure that oxygen is available for emergency use when planning and delivering care and, where appropriate, treatment in such a way as to ensure the welfare and safety of patients.
A risk assessment had not been conducted in respect of assessing the potential risk from legionella (a bacterium which can contaminate water systems in buildings). We saw evidence that formal arrangements had been made for a legionella risk assessment to be conducted in the month following our visit.
We identified one area where the provider should make improvement:
We noted that consultation rooms at both locations were situated on the ground and first floors. There was no passenger lift at either premises. Therefore the practice accommodated patients with a disability or who found it difficult to negotiate stairs in the consultation rooms on the ground floors. We are of the view that the practice should consider extending this arrangement for patients attending their children’s vaccination clinics. The current arrangement means that parents and children have to go up quite steep stairs for vaccines to be administered before descending again to see a GP.
Chief Inspector of General Practice