Archived: Carlton House

Updated 17 May 2019

Carton House operates from Carton House Surgery, 28 Tenniswood Road, Enfield, Middlesex, EN1 3LL and provides a GP led, pre-booked extended access service and walk-in service for assessment and treatment of adults and children. The service is one of the four GP hubs in Enfield commissioned by the local Clinical Commissioning Group (CCG) and provided by Enfield One Limited.

The pre-bookable extended hours service is available to Enfield residents or those who are registered with an Enfield GP. Patients can call between 8am and 8pm and directly book an appointment via a dedicated phone line or through their own GP practice. The service is open from 1:30pm to 8pm on weekdays and from 8am to 8pm on Saturdays and Sundays.

The walk-in service is available on weekends and bank holidays between 8am-8pm.

The provider has centralised governance for its services which are co-ordinated by service managers and senior clinicians.

The clinical team at the hub is made up of four GP Directors, 38 long-term locum GPs and 11 locum nurses. The non-clinical service team consists of an operations manager, hub manager and administrative staff members.

The provider is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, maternity and midwifery services, and treatment of disease, disorder or injury.

Updated 17 May 2019

This service is rated as Good overall.

The key questions at this inspection 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 Carton House on 7 March 2019 as part of our inspection programme.

At this inspection we found:

• The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service learned from them and improved their processes.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Review arrangements for carrying out regular health and safety risk assessments.
• Continue to monitor vaccination fridge temperatures 7 days a week.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care