We carried out an announced comprehensive inspection on 30 November 2017 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?
Our findings were:
Are services safe?
We found that this service was providing safe care in accordance with the relevant regulations.
Are services effective?
We found that this service was providing effective care in accordance with the relevant regulations.
Are services caring?
We found that this service was providing caring services in accordance with the relevant regulations.
Are services responsive?
We found that this service was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found that this service was providing well-led care in accordance with the relevant regulations.
Background
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
Jane Benn - Pangbourne Drive is an independent GP practice located in Stanmore, Middlesex. There are approximately 3,500 registered patients. The practice is located in a converted residential property. The ground floor is accessible by wheelchair and has a waiting area, two consulting rooms, administrative areas, an accessible toilet with baby changing facilities, and a staff kitchen. The first floor has five consulting rooms (three rooms are rented to other healthcare professionals), a storage room and toilet facilities.
The practice team consists of a GP principal (female), four associate GPs (one male, three female), a practice manager, an assistant practice manager and eight administrative staff. The practice is open from 7.30am to 7.30pm on weekdays, and 8.30am to 1.30pm on Saturday. Consulting hours are 8.30am to 7pm on weekdays, and 9.30am to 1pm on Saturday.
Services provided include: management of long term conditions; gynaecological assessment; antenatal and postnatal care; ECG (Electrocardiogram); dressings; childhood immunisations; blood and other laboratory tests; travel vaccines; and ear syringing. Patients can be referred to other services for diagnostic imaging and specialist care.
The provider is registered with the Care Quality Commission (CQC) for the regulated activities of Treatment of Disease Disorder or Injury, and Diagnostic & Screening Procedures.
The GP principal is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We received 87 completed Care Quality Commission comment cards and spoke with three patients during the inspection. All the patient feedback we received was very positive about the staff and service offered by the practice.
Our key findings were:
- The practice had clear systems in place to reduce risk to patient safety. When incidents did happen, the practice learned from them and improved their processes.
- 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.
- 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 focus on continuous learning and improvement at all levels of the organisation.
There were areas where the provider could make improvements and should:
- Review staff training for chaperoning.
- Review and update the infection prevention and control audit.
- Review and update the action log for safety alerts.