A suspended doctor’s practice continues to provide inadequate care despite formal warnings, a health regulator has said.

Dr Ijaz Hayat, who operates Hayat Medical Centre at 273 Boundary Road, Walthamstow, was issued with three warnings by the Care Quality Commission in January after inspectors found service users were inadequately protected from the risk of abuse.

Inspectors returned unannounced in January and lifted only one warning, stating that the care and welfare of service users and the monitoring of the quality of services continued to be below a basic standard.

“We found that the provider was still not compliant with two of the three warning notices,” a report said.

“Patients were still at risk of receiving unsafe or inappropriate care. No person had been appointed to clinically govern the practice and there were no systems in place to identify, assess and manage health, welfare and safety risks to the patients.”

Standards of medicine management, the third area where the practice had been failing, were found to have improved with prescriptions available within 48 hours.

The practice has now been referred to NHS England and the General Medical Council (GMC).

The GMC is already investigating Dr Hayat, who has been suspended since September over unrelated issues.

Further details are unavailable as investigations are ongoing.

However, Dr Hayat was investigated in 2009 following an allegation that he referred patients to personal injury lawyers.

Both the General Medical Council and Waltham Forest primary care trust found the claims were unsubstantiated.

During the most recent inspections information from patient records was found to be missing and some patients were not referred for further tests in a timely manner, while others were not able to book appointments easily.

Additionally, a high turnover of locum GPs meant some surgeries were cancelled.

A total of 27 temporary doctors had worked at the surgery in the last two months, resulting in a lack of continuity of care.

Because Dr Hayat is suspended, he is unable to make decisions on the care and treatment of patients, inspectors wrote, meaning that these decisions were not taken by the appropriate person.

Three locum doctors were to be employed on a long-term basis as clinical leads to address the problem.