During an assessment under our new approach
Date of Assessment: 16 July 2025 to 21 July 2025. St Johns House Medical Centre is a GP practice and delivers service to approximately 14,000 patients under a contract held with NHS England. The National General Practice Profiles states the practice population is 94.72% White, 1.99% Asian, 0.89% Black, 1.86% mixed and 0.54% other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 7th decile (7 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The provider is registered with the Care Quality Commission to provide the following regulated activities; diagnostic and screening procedures, maternity and midwifery services, family planning, surgical procedures and treatment of disease, disorder or injury. We assessed all five key questions to establish if the services provided are safe, effective, caring, responsive and well-led.
We found breaches of regulation in relation to Regulation 17, Good Governance. Our clinical records review identified not all systems and processes for medicines management and long-term conditions were operating effectively. Processes for medication reviews were not consistent with some reviews only coded on the clinical system with no detail or commentary on what had been reviewed; not all patients with long-term conditions received the appropriate monitoring; and safety alerts were not always actioned in line with guidance. We have asked the provider for an action plan in response to the concerns found at this assessment.
The practice had a good learning culture and people could raise concerns. The facilities and equipment met the needs of people and were clean and well-maintained. There was a Patient Participation Group (PPG) who worked in partnership with the service to drive improvements. The practice worked with the external organisations in the local community to help deliver care. Patients were respected and valued as individuals. Staff protected patients’ privacy and dignity and treated them with kindness, empathy and compassion. Patients were supported in making choices about their care and treatment. Leaders were visible, knowledgeable and provided support, showing a strong commitment to helping staff develop in their roles. Leaders understood the importance of staff wellbeing. Staff felt supported to give feedback and management were receptive to new ideas.