Dalston Practice

Updated 13 September 2018

Dalston Practice provides care to approximately 5800 patients. The practice was purpose built and operated from the ground and first floor of the premises. The practice has step free access and a lift. There is good local transport including regular buses and a nearby rail station.

The practice-area population has a deprivation score of 2 out 10 (10 being the least deprived). It serves a mixed population, with 51% of people in the local area identifying as white British, 26% as Black/African/Caribbean/ Black British, 11% as Asian/Asian British, 7% as mixed ethnicity and 5% as other ethnic groups.

The practice holds a GMS (General Medical Services) contract with NHS England. It also provides enhanced services, including, for example, extended hours.

The practice is registered with the Care Quality Commission to provide the regulated activities: diagnostic and screening procedures, maternity and midwifery services, and treatment of disease, disorder or injury.

The clinical team consists of the principal GP (Male), a salaried GP (female) and two long-term locum GPs (males), and one practice nurse (female). There is a practice manager and an administrative and reception team.

The practice’s opening hours are between 9:00am and 6:30pm on weekdays. GP appointments are available Monday to Friday between 9:00am and 1.00pm, and from 3:00pm to 6:10pm. In addition, appointments are available from 6:30pm to 8:30pm on Mondays, and from 9:00am to 1:00pm on Saturdays, under the extended hours provision. Nurse appointment are available between 9.00am and 2.30pm every weekday. There is a walk-in clinic at the practice every weekday between 9.00am and 9.30am.

Standard appointments are 10 minutes long, with double appointments available to patients who request them, or for those who have been identified with complex needs.

When the practice is closed, patients are redirected to a contracted out-of-hours service.

At our previous inspection we rated the practice as good in respect of the five key questions and the six populations groups.

Updated 13 September 2018

This practice is rated as Good overall. (Previous rating October 2015 – Good)

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 inspection at Dalston Practice on 11 July 2018, as part of our inspection programme.

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 its 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.
• Feedback from patient interviews and CQC comment cards was positive about the way staff treated them.
• 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 practice.

The areas where the provider should make improvements are:

• Continue with efforts to improve GP patient survey results, specifically in relation to involving patients in decisions about their care, and treating patients with care and concern.
• Continue with efforts to identify and support patients who are carers.

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.

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018