Roman Way Medical Centre - Care Quality Commission

Background to this inspection

Updated 27 October 2017

The Roman Way Medical Centre is located in the London Borough of Islington. The practice is part of the NHS Islington Clinical Commissioning Group (CCG) which is made up of 38 practices. It currently holds a General Medical Service (GMS) contract to provide primary medical care services to 4713 patients.

The practice serves a diverse population with many patients attending where English is not their first language. The practice has a mixed patient population age demographic with 30% under the age of 18 and 19% over the age of 65. The Roman Way Medical Centre is situated within a purpose built building. Consulting rooms and administrative offices are situated on the ground level. There are currently two full time GP partners (one female and one male) Each GP carries out eight sessions per week. The practice had recently lost a full time partner and was recruiting for more GP cover. Practice staff also consisted of a practice nurse (who works 24 hours a week), practice manager and administrative staff.

The practice is open between 8.45am and 6.30pm each week day except Thursday when the practice is open from 8.45 am to 1.00pm. Appointments are from 9.00am to 12.00pm every morning and 3.00pm to 6.30pm daily. Extended surgery hours are offered on a Monday, Tuesday, Wednesday and Friday from 6.30pm to 7.00pm. In addition to pre-bookable appointments that could be booked up to three weeks in advance, urgent appointments are also available for people that needed them. Patients are able to book appointments on line.

The practice has opted out of providing an out of hours service and refers patients to the local out of hours service or the ‘111’ service.

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

The practice provides a range of services including child health and immunisation, minor illness clinic, smoking cessation clinics and clinics for patients with long term conditions. It also provides health advice and blood pressure monitoring.

The practice was previously inspected in March 2016. It was given an overall rating of requires improvement. The practice was inspected further in January 2017 and was rated as requires improvement overall and received a requirement notice for Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Good Governance. At this inspection we found that the matters leading to this breach in regulation had been addressed.

Overall inspection

Good

Updated 27 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Roman Way Medical Centre on 12 January 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the 12 January 2017 inspection can be found by selecting the ‘all reports’ link for Roman Way Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk based review carried out on 26 September 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection on 12 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

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Overall the practice is now rated as good.

Our key findings were as follows:

Processes were in place to ensure QOF performance was monitored with a view to improvement..
Systems were in place to improve the uptake for the national cervical screening programme.
The practice had undertaken a patient survey into the provision of nursing care and found an improvement in the way the nurse listened, treated patients and involved them in their care.
Processes were in place to raise the awareness of carers.
A cleaning schedule for the cleaning of hand held clinical equipment had been produced and was up to date.
All medical emergency equipment was housed in one place and all staff were aware of the location.

The areas where the provider should make improvement are:

Continue to monitor and improve the cervical screening uptake rate.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice