Dr John O'Moore - Care Quality Commission

Background to this inspection

Updated 11 September 2017

Dr John O’Moore provides primary medical services in Upminster to approximately 3590 patients and is one of fifty-three member practices in the NHS Havering Clinical Commissioning Group (CCG).

The practice population is in the ninth least deprived decile in England with less than CCG and national average representation of income deprived affecting 12% of children (CCG average 20%, national average 20%) and older people. The practice had surveyed the ethnicity of approximately 96% of the practice population and had determined that 93% of patients identified as having white

ethnicity, 3% Asian, and 4% black.

The practice operates from a converted shop property with all patient facilities on the ground which is wheelchair accessible. There are offices for administrative and management staff on the ground floor.

The practice operates under a General Medical Services (GMS) contract and provides a number of local and national enhanced services (enhanced services require an increased level of service provision above that which is normally required under the core GP contract). The enhanced services it provides are: Childhood Vaccination and Immunisation Scheme; Extended Hours Access.

The practice team at the surgery is made up of one full-time male GP principal along with two part-time female salaried GPs. The doctors provide 11 clinical sessions per week. The nursing team consists of one part-time female nurse prescriber working a whole time equivalent (WTE) of 0.6 of full-time, and one part-time female practice nurse, who is also the part-time practice manager (WTE 1.0). There are 4 administrative, clerical and staff reception staff working between them a WTE of 2 full-time employees.

The practice is open between 8.30am to 1.00pm and 4.00pm to 6.30pm Monday to Friday.

Appointments are available as follows:

Monday 08:40 - 11:00 16:00 - 18:00

Tuesday 08:40 - 11:00 16:00 - 18:00

Wednesday 08:40 - 11:00 16:00 - 18:00

Thursday 08:40 - 11:00 closed

Friday 08:40 - 11:00 16:00 - 18:00

Extended surgery hours were from 6.30pm to 8.00pm on Mondays. Extended hours nurse appointments were available from 6.00pm to 7.45pm on Mondays.

The practice does not open at weekends.

The practice has opted out of providing out of hours (OOH) services. It directs patients to the OOH provider for NHS Havering CCG.

Dr John O’Moore is registered as a sole principal with the Care Quality Commission to provide the regulated activities of treatment of disease, disorder or injury; diagnostic and screening procedures and maternity and midwifery services.

Overall inspection

Good

Updated 11 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr John O’Moore on 5 May 2016. The overall rating for the practice was good, however the practice was rated requires improvement for providing effective care. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr John O’Moore on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 14 August 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 in our previous inspection on 5 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

At the inspection on 5 May 2016 we found:

The exception reporting within four clinical domains was above both local and national averages.
The practice had undertaken some quality improvement activity but had not completed any two-cycle audits, where the information learnt had been used to improve patient care.
The practice had a robust strategy and supporting business continuity plan. However, it did not have a business plan.

At the inspection on 14 May 2017 we found improvements had been made. Overall the practice remains rated good. The practice is now rated as good for providing effective care.

Our key findings were as follows:

Exception reporting rates for some clinical conditions were above average. However, the practice had investigated this and provided an acceptable explanation in this regard.
Clinical audits demonstrated quality improvement.
The practice had produced a two year business plan which reflected the vision and values.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice