Background to this inspection
Updated
29 November 2018
The registered provider of the service is Dr Pezhman Nouraei-Fard. The address of the registered provider is 77 Gray's Inn Road, London, WC1X 8TS. The practice, which was previously registered as a partnership, registered as a sole provider in March 2018, to provide the regulated activities of diagnostic and screening services, maternity and midwifery services and treatment of disease, disorder or injury.
The practice provides NHS primary medical services through a General Medical Services contract to approximately 6,000 patients. The practice is part of the NHS Camden Commissioning Group (CCG) which is made up of 35 general practices.
The practice team consists of a lead GP and nine salaried GPs, all of whom work part time. Four of the GPs, including the lead GP are male and six are female. The clinical team is completed by a practice nurse who works part time and two healthcare assistants, one of whom works full-time and the other, part-time. There is a practice manager who also carries out this role at another practice owned by the lead GP and eleven administrative and reception staff.
The patient profile for the practice indicates a population of more working age people and families with children than the national average and a lower proportion of older people in the area compared with the national average. Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the very highest levels of deprivation and level ten the lowest.
The practice’s opening hours are 8.00am to 6.30pm on Mondays, Tuesdays, Thursdays and Fridays. It closes at 1.00pm on Wednesday. Appointments are available throughout the day. The telephone line opens at 9.00am.
The practice has opted out of providing an out-of-hours service. When closed, calls are forwarded to the local out-of-hours service provider. Information regarding this is given on the practice website and the practice leaflet, together with details of the NHS 111 service and information regarding two nearby walk in centres, which all patients registered at the practice may use.
Updated
29 November 2018
This practice is rated as Good overall.
The key questions at this inspection 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/focused inspection at Grays Inn Medical Practice on 16 October 2018. This inspection was undertaken as part of our inspection programme.
The previously registered and inspected service at this location, also known as Grays Inn Medical Practice, ceased providing services in March 2018.
At this inspection we found:
- 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.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was a clear management structure in place and staff had lead roles in practice service delivery. The practice team worked well together and practice governance processes were comprehensive.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- The practice had undergone a change of leadership within the previous twelve months and had not yet developed a programme of quality improvement activity to ensure that care and treatment was delivered according to evidence-based guidelines.
- There was a clear vision and leaders were able to describe a set of guiding principles around which it structured its services. The practice had a realistic strategy and supporting business plans to achieve priorities.
The areas where the provider should make improvements are:
- Ensure that fire risk assessments are carried out at suitable intervals
- Continue to ensure systems in place to monitor the health of all patients prescribed high-risk medicines are consistently followed.
- Put a system in place to maintain a record of all patient safety alerts received and the actions taken as a result.
- Ensure that plans to develop a programme of quality improvement activity are followed through.
- Continue to review uptake rates for public health screening programmes with a view to bringing about further improvements.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.