Background to this inspection
Updated
18 July 2018
Dr Jayesh Bhatt operates from Park Medical Centre, London, Southwark SE16 2PE which are purpose built premises located on ground level. The service is accessible for those with mobility problems. Dr Jayesh Bhatt is part of Southwark CCG and serves approximately 5,800 patients. The practice is part of a GP federation.
The demographics of the practice population is broadly comparable to national averages. The practice is ranked in the second most deprived decile on the Index of Multiple Deprivation and the levels of deprivation affecting children and older people is approximately twice the national average.
The practice is open between 8am and 7.30pm on a Monday, 8am and 6.30pm on Tuesday, Wednesday and Friday and 7am to 6.30pm on a Thursday. The practice could also refer patients to a local extended primary care clinic open 8am until 8pm every day. Practice patients are directed to contact the local out of hours provider when the surgery is closed.
The practice is run by two GP partners. There are four salaried GPs, one clinical pharmacist, one practice nurse and one healthcare assistant. The practice is also supported by locum GPs who work between five and six sessions per week. The practice provides 32 clinical sessions per week. The non-clinical team is led by a practice manager, supported by a secretary, an IT lead, a medical reception administrator, a senior receptionist and three receptionists.
The practice operates under a Personal Medical Services (PMS) contract, and is signed up to a number of local and national enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract).
The practice is registered with the CQC for the following regulated activities: Family Planning; Treatment of Disease, Disorder or Injury; Maternity and Midwifery Services; Diagnostic and Screening Procedures.
Updated
18 July 2018
This practice is rated as Good overall. (Previous inspection October 2017 – Requires Improvement)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Dr Jayesh Bhatt, known to patients as Park Medical Centre, on 17 May 2018 to follow up on breaches of regulations identified in our previous inspection in October 2017.
At our previous inspection we told the provider they must make improvement to:
- Ensure care and treatment is provided in a safe way to patients.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
- Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.
We also identified areas where the provider should make improvement including:
- Advertise translation in waiting area.
- Take action to increase the proportion of patients who receive appropriate and timely reviews.
- Assess and take action to increase the uptake of the MMR vaccine
The full comprehensive report from the inspection undertaken In October 2017 can be found by selecting the ‘all reports’ link for Dr Jayesh Bhatt on our website at www.cqc.org.uk.
At this inspection we found:
- The practice had put in place systems and processes which addressed the concerns raised at our previous inspection.
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. 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.
- Most patients found the appointment system easy to use and reported that they could access care when they needed it.
- There was a focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Review the practice policy and procedure for receiving, reviewing, acting on and learning from external safety events as well as patient and medicine safety alerts, ensuring the policy reflects working practice.
- Consider the requirement for and benefit of having pulse oximeters for use on children.
- Review cleaning schedules, practices and record keeping ensuring clinical equipment cleaning is recorded and checked in line with other cleaning.
- Continue to monitor and improve childhood immunisation uptake rates.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People experiencing poor mental health (including people with dementia)
Updated
18 July 2018