The Jersey Practice

Updated 28 April 2017

The Jersey Practice Limited has two sites; the main practice is located in Heston in the London Borough of Hounslow, and a branch surgery, St Bernards Practice, is located in the London Borough of Ealing. The practice provides care to approxiamately 8100 patients.

The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of; treatment of disease, disorder or injury, diagnostic and screening procedures. family planning services, surgical procedures and maternity and midwifery services.

The practice has a General Medical Services (GMS) contract and provides a full range of essential, additional and enhanced services including maternity services, child and adult immunisations, family planning, sexual health services and surgical procedures.

The practice has three GP partners and three long term locum GPs working a total of 20 sessions amongst them. There is a good mix of female and male staff. The practice has a part time practice manager and an assistant practice manager. The rest of the practice team consists of two regular locum nurses, one health care assistant and a small team of administrative staff.

The practice operates on a rotational basis and staff work across both sites. The Heston location is currently open five days a week from 8.30am to 6.30pm on Mondays, Tuesdays and Fridays, from 8:30am to 1:30pm on Wednesday and 8am to 8pm on Thursdays. The branch surgery opens 9am to 6.30pm on Monday, Wednesday and Friday and 9am to 1.30pm Tuesday and Thursday. When the practices are closed, the telephone answering service directs patients to contact the out of hours provider.

Updated 28 April 2017

Letter from the Chief Inspector of General Practice

We carried out an unannounced inspection at The Jersey Practice on 10 March 2017 in response to concerns received by the Care Quality Commission (CQC) that the practice was not providing safe care and treatment to its patients. The concerns specifically related to the health care assistant administering medication by injection without a patient specific prescription or direction from a prescriber and without appropriate training (PGDs are written instructions for the supply or administration of medicines to groups of patients who may not be individually identified before presentation for treatment).

At the inspection on 10 March 2017 the concerns received by the CQC were substantiated and as a result a decision was made to take enforcement action against the provider where a warning notice was issued for regulation 12; Safe Care and Treatment.

We revisited the practice on 30 March 2017 and found the provider had taken the necessary action to comply with the warning notice and was now providing safe care and treatment to its patients.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 8 July 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was comparable to the national average. (practice 71%; national 78%)

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 8 July 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• The practice had a failsafe system for ensuring results were received for every sample sent as part of the cervical screening programme. The practice’s uptake for the cervical screening programme was 71%, which was below the national average of 82%.However the practice had made significant improvements and the current data indicated the uptake rate to be 81%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 8 July 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• All patients over the age of 75 had a named GP who was responsible for their care.

• The practice offered a range of enhanced services which included the shingles and flu vaccinations, and avoiding unplanned admissions to hospital.

Updated 8 July 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 8 July 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• Performance for mental health related indicators was better than the national average (practice 100 %; national 88%).

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 8 July 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.