Felmores Medical Centre

Updated 10 March 2016

Dr K K Abraham and Dr J Joseph Surgery is also referred to as Felmores Medical Centre. It is located in the centre of a housing development. The practice has a branch surgery located approximately 10 minutes away at Long Riding Surgery (30 Long Riding Basildon, Essex SS14 1QY).

The practice has approximately 5768 patients registered with the practice who may attend either practice. There are two male GPs supported by locum GPs (including a female GP) providing four sessions a week. They are supported by two practice nurses, a healthcare assistant and an administrative team led by a practice manager.

There are car parking facilities, step free entry and wheelchair access to their premises. The practice consulting rooms are situated on the ground floor.

The practice is open between 8.30am to 7.15pm Monday and Tuesday, 8.30am to 6.30pm Wednesday to Friday. Appointments are available from 9am to 11:30am and 4.30pm to 6pm on a Monday, 9am to 11am and 4.30 to 6.30pm on a Tuesday, Wednesday 9am to 11:30am and 4.30pm to 6pm, Thursday 9am to 12:30 and Friday 9am to 11:30am and 4.30pm to 6pm. Extended surgery hours ware offered on Monday and Tuesday from 6:30pm to 7pm.

Basildon is a deprived area with higher than national levels of deprivation reported for children and older people. The local population also have lower than average levels of life expectancy for both men and women. The practice has a young demographic with greater than the national average of patients aged from birth to under 18years.

The practice has been inspected on two previous occasions by the Care Quality Commission in 2014. They were found to be compliant with the Health and Social Care Act 2008 in July 2014.

The practice had a comprehensive website detailing opening and appointment times for each of the GPs. There are also details of their patient participation group survey results and health information including signposting to support and specialist services.

Updated 10 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr K K Abraham and Dr J Joseph also known as the Felmores Medical Centre on 3 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety. Patient safety alerts were effectively managed and actioned to identify and manage risks to patients.
• There was a system in place for reporting significant events. However, this could be improved with more timely recording and better detailed documentation of discussions and decisions.
• The practice was visibly clean and tidy.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had lead areas and the skills, knowledge and experience to deliver effective care and treatment.
• Patients reported higher than local and national levels of confidence in the GPs.
• Comments from patients were positive and they reflected they were cared for by committed staff who showed them patience and empathy.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt valued, trusted and supported by management. The practice sought feedback from staff and patients, which it acted on.

The areas where the provider should make improvement are:

• Record, investigate and document the dissemination of learning from significant incidents.
• Maintain individualised cleaning schedules to demonstrate when, where and how rooms and equipment were last cleaned.
• Update records to ensure they accurately reflect risks and actions taken.
• Increase clinical audits to inform improvements for patient care.
• Maintain accurate records of discussions, decisions, and actions taken in meetings.
• Seek wider views from patients in relation to the services provided and respond to it accordingly.

Professor Steve Field

(CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 March 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in diabetes and chronic disease management and patients at risk of hospital admission were identified as a priority.
• Performance for diabetes related indicators was similar or above the national average. For example, they performed better than the national average for the percentage of patients on the diabetic register who have had an influenza immunisation achieving 100% in comparison to the national average of 94%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicine needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 10 March 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had failed to attend appointments, had a high number of A&E attendances.
• Child immunisation rates were high for all standard childhood immunisations.
• Patients told us that children and young people were treated in an age-appropriate way and staff had received refresher training in Gillick competency.
• Cervical screening data was comparable to the CCG and national averages.
• The practice conducted antenatal and postnatal checks.
• Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 10 March 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population. For example, the practice nurse contacted patients to coordinate their care to mitigate the need for multiple visits.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 10 March 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified. The practice provided extended opening hours and online appointments and prescription requests.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group, including travel vaccinations.

Updated 10 March 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
• The practice had below the national average for their mental health QOF indicators and conducting face to face reviews with patients with dementia.
• Patient comments received made reference to the supportive care provided to patients suffering depression and anxiety.
• The practice provided open availability for some patients with poor mental health to see the clinical team.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• Staff had a good understanding of how to support patients with mental health needs and dementia. They coded patient data and informed colleagues of how to meet individual patient needs.

Updated 10 March 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• The practice offered longer appointments for patients with a learning disability and conducted annual care reviews.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.