Laburnum Health Centre

Updated 26 October 2022

Laburnum Health Centre is located at

Althorne Way,

Dagenham,

Essex,

RM10 7DF

The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services and treatment of disease, disorder or injury and surgical procedures.

The practice is situated within the Noth East London Integrated Care System (ICS) and delivers Personal Medical Services (PMS) to a patient population of about 9,669. This is part of a contract held with NHS England.

Information published by Public Health England shows that deprivation within the practice population group is in the second lowest decile (two of 10). The lower the decile, the more deprived the practice population is relative to others.

According to the latest available data, the ethnic make-up of the practice area is 10% Asian, 66% White, 20% Black, 4% Mixed and other groups.

There is a team of three GPs, two part time practice nurses and one health care assistant. The GPs are supported at the practice by two practice managers and a team of administration and reception staff.

Updated 26 October 2022

We carried out an announced comprehensive inspection at Laburnum Health Centre on 17 July and 17 August 2022. Overall, the practice is rated as Requires Improvement.

Safe - requires improvement.

Effective -requires improvement.

Caring – good.

Responsive - requires improvement.

Well-led - requires improvement.

Following our previous inspection on 6 April 2022, the practice was rated as requires improvement for providing a responsive service.

This was because:-

• Patients still could not always access care and treatment in a timely way.
• Complaints were not always used to improve the quality of care.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Laburnum Health Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection to follow up breaches of regulation from the previous inspection.

How we carried out the inspection.

This included:

• Conducting staff interviews.
• Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

• What we found when we inspected.
• Information from our ongoing monitoring of data about services.
• Information from the provider, patients, the public and other organisations.

We found that:

We rated safe as requires improvement because:

• The systems to assess, monitor and manage, safeguarding, medicines, risks to patient safety, significant events and information to deliver safe care and treatment were not always effective.

We rated effective as requires improvement because:

• Patients’ needs were not always assessed and care and treatment was not always delivered in line with current legislation.

We rated responsive as requires improvement because:

• Patients’ needs were not always assessed and care and treatment was not always delivered in line with current legislation.

We rated well-led as requires improvement because:

• There was no emphasis on the safety and wellbeing of staff.
• Leaders could not demonstrate that they had the capacity and skills to deliver high quality sustainable care.
• The overall governance arrangements were sometimes ineffective.

We rated caring as good because:

• The national GP survey provided positive results.

We found two breaches of regulations. The provider must:

• 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.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services.