Green Street Surgery - Care Quality Commission

Background to this inspection

Updated 15 August 2017

Green Street Surgery is located in Enfield, North London. The practice has a patient list of approximately 2300. Fifty one percent of patients are aged under 18 (compared to the national practice average of 44% and 18% are 65 or older (compared to the national practice average of 20%). Forty one percent of patients have a long-standing health condition.

The services provided by the practice include child health care, ante and post-natal care, immunisations, sexual health and contraception advice and management of long term conditions.

The staff team comprises a male GP (working six sessions a week), a female long term locum GP (working four sessions a week), two female practice nurses (both working three days a week), a part time practice manager (working 0.75 whole time equivalent), secretarial and administrative staff. Green Street Surgery holds a Personal Medical Service (PMS) contract with NHS England.

The practice’s opening hours are:

Monday – Friday 8am – 6:30pm
Monday 6:30pm – 7:30pm (extended hours)

Appointments are available at the following times:

Monday 8:30am – 10:30am and 4:30pm – 7:30pm
Tuesday – Friday 8:30am – 10:30am and 4:30pm – 6:00pm

In addition to pre-bookable appointments that could be booked up to four weeks in advance, urgent appointments are also available for people that needed them. When the practice was closed, patients were directed to the local out of hour’s provider.

The practice is registered to provide the following regulated activities which we inspected: treatment of disease, disorder or injury; diagnostic and screening procedures; and maternity and midwifery services.

Overall inspection

Good

Updated 15 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Green Street Surgery on 6 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Green Street Surgery on our website at www.cqc.org.uk.

This inspection was a desk based review carried out on 25 July 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 Day Month Year. 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:

Clinical audits and re-audits were being carried out to improve patient outcomes.
Multi-disciplinary team meetings were being undertaken.
A business plan had been developed to underpin the vision for the practice.
All policies and procedures had been reviewed and were up to date. Each policy had a lead member of staff assigned to be responsible for monitoring and future updates.
The patient participation group had been reinstated and was meeting on a regular basis.
An action plan had been developed to address the scores of the national patient survey.
Cleaning schedules for clinical equipment was in place. The carpet had been cleaned in March 2017 but has subsequently been replaced with lino.
A process had been put in place to identify and support carers.
All portable electrical appliances had been tested.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

Look at ways to further identify carers and provide support.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice