We carried out a review of the data available to us about Jane Benn - Pangbourne Drive on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Jane Benn - Pangbourne Drive, you can give feedback on this service.
This service is rated as Good overall. (Previous inspection 30 November 2017)
The key questions 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 Jane Benn Pangbourne Drive on 16 April 2019 as part of our inspection programme. The service is an independent GP practice located in Stanmore, Middlesex.
The GP principal is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Forty-two people provided feedback about the service. All the feedback we received was very positive about the staff and service provided by the practice.
Our key findings were:
Whilst we found no breaches of regulations, the provider should:
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection on 30 November 2017 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?
Our findings were:
Are services safe?
We found that this service was providing safe care in accordance with the relevant regulations.
Are services effective?
We found that this service was providing effective care in accordance with the relevant regulations.
Are services caring?
We found that this service was providing caring services in accordance with the relevant regulations.
Are services responsive?
We found that this service was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found that this service was providing well-led care in accordance with the relevant regulations.
Background
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
Jane Benn - Pangbourne Drive is an independent GP practice located in Stanmore, Middlesex. There are approximately 3,500 registered patients. The practice is located in a converted residential property. The ground floor is accessible by wheelchair and has a waiting area, two consulting rooms, administrative areas, an accessible toilet with baby changing facilities, and a staff kitchen. The first floor has five consulting rooms (three rooms are rented to other healthcare professionals), a storage room and toilet facilities.
The practice team consists of a GP principal (female), four associate GPs (one male, three female), a practice manager, an assistant practice manager and eight administrative staff. The practice is open from 7.30am to 7.30pm on weekdays, and 8.30am to 1.30pm on Saturday. Consulting hours are 8.30am to 7pm on weekdays, and 9.30am to 1pm on Saturday.
Services provided include: management of long term conditions; gynaecological assessment; antenatal and postnatal care; ECG (Electrocardiogram); dressings; childhood immunisations; blood and other laboratory tests; travel vaccines; and ear syringing. Patients can be referred to other services for diagnostic imaging and specialist care.
The provider is registered with the Care Quality Commission (CQC) for the regulated activities of Treatment of Disease Disorder or Injury, and Diagnostic & Screening Procedures.
The GP principal is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We received 87 completed Care Quality Commission comment cards and spoke with three patients during the inspection. All the patient feedback we received was very positive about the staff and service offered by the practice.
Our key findings were:
There were areas where the provider could make improvements and should:
Records indicated that patients were assessed, and their care and treatment was planned and delivered in a personalised way. Patients were very satisfied with the appointment system. Patients told us, 'you can get an appointment as soon as you want', and "same day appointments are the main attraction." The practice also had arrangements in place to manage emergencies and on-going care.
There were systems for managing patients' medicines safely. Medicines kept at the practice were stored securely and only accessible to authorised staff. The practice carried out significant event reviews on incidents related to medicines, and learning from these was shared with staff.
There were adequate numbers of staff to meet people's needs effectively. Essential checks had been carried out on new staff working in the practice. Staff were provided with training and felt supported in their roles.
The provider had a complaints process in place and staff were clear about their responsibilities for recording and dealing with complaints. Patients told us that they felt able to bring a concern or complaint to the direct attention of staff members, should the situation arise.
Records indicated that patients were assessed and their care and treatment had been recorded. Where necessary, patient consent had been obtained and evidence was provided. Patients had been given information regarding the fees and charges. The treatment provided and the care records had been reviewed monthly by the practice's medical staff to ensure that patients were well cared for.
Staff were aware of action to take when responding to allegations or incidents of abuse and there was a child protection policy. However, the practice did not have a written policy for safeguarding adults and not all staff had received training in safeguarding adults.
The practice had a recruitment policy. Essential checks had been carried out on new staff working in the practice. Medical staff had attended relevant training and updates.
The practice had an effective system to regularly assess and monitor the quality of service that patients received. Two recent patient surveys indicated that patients were very satisfied with the quality of services provided.
People were cared for in a clean and hygienic environment and arrangements were in place to reduce the risk of infection in the practice.
There were adequate numbers of staff to meet people's needs effectively and people we spoke with told us that there were always enough staff on duty. Comments we received about staff included 'the care is phenomenal, Dr Benn runs an amazing practice', and 'the admin staff always bend over backwards to get you an appointment, all the staff are fully competent'.
There was an effective complaints management system in place.
As the service offered by the provider is a private GP service, people could choose whether they wanted to use the service. The provider had a patient guide and a comprehensive website with information about the services that were offered by the practice and the fees that people were expected to pay for them to make an informed choice about using the service. Once people decided that they wanted to use the service, they received the terms and conditions of using the service which they signed to show their agreement to these.
People commented in the survey carried out in 2010 that they were very pleased with the service they received. One person said 'I feel 100% confident in the service provided'. People were particularly satisfied that the doctors took the time to listen to them and to deal with their health concerns.