Background to this inspection
Updated
10 June 2019
Ordnance Unity Centre for Health is located in Enfield Wash, London Borough of Enfield, North London. The practice has a patient list of approximately 9,000 patients. Thirty three percent of patients are aged under 18 (compared to the national practice average of 21%) and 7% are 65 or older (compared to the national practice average of 17%). Forty eight percent of patients have a long-standing health condition.
The services provided by the practice include child health care, ante and post-natal care, immunisations, sexual health and contraception advice and management of long term conditions.
The practice holds an Alternative Provider Medical services (APMS) contract. This is a locally negotiated contract open to NHS practices, voluntary sector or private providers. There are currently five GPs (four female, one male), one female advanced nurse practitioner, two female practice nurses, one female health care assistant, one female clinical pharmacist, a practice manager and a team of reception/administrative staff.
The practice’s opening hours are:
- Monday to Friday: 8:00am - 6:30pm
- Saturday: 9:00am to 3:00pm (pre-booked appointments)
In addition, patients can access late evening and weekend appointments from local HUB services based at other practices in the Clinical Commissioning Group area.
Outside of the above times, cover is provided by an out of hours provider.
The practice is registered to provide the following regulated activities which we inspected:
Diagnostic and screening procedures; Family planning; Treatment of disease, disorder or injury;
Maternity and midwifery services; and surgical procedures.
Updated
10 June 2019
We carried out an announced, focussed inspection at Ordnance Unity Centre for Health on 28 March 2019. The inspection took place in response to concerns raised regarding complaints management, staff pre employment checks and the operation of the practice’s emergency call triage system.
The practice had been previously inspected in March 2018 and the key questions of Safe, Effective, Caring, Responsive and Well led were rated as Good.
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services responsive? – Good
We have rated this practice as good overall and good for all population groups.
We based our judgement of the quality of care at this service on a combination of:
•what we found when we inspected
•information from the provider, patients, the public and other organisations.
We found that:
•The practice provided care in a way that kept patients safe and protected them from avoidable harm.
•Patients received effective care and treatment that met their needs.
•Complaints were listened to and responded to in a timely way; and that they led to improvements in the quality of care.
•Leadership and practice management arrangements supported the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
•Monitor recent actions aimed at improving how uncollected prescriptions are managed.
•Take action to improve take up of the Electronic Prescription Service (EPS) which sends electronic prescriptions from GP surgeries to pharmacies.
•Continue to work with its Patient Participation Group (PPG) to improve patient satisfaction on phone access.
•Continue to monitor actions taken to improve childhood immunisations uptake.
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