We carried out a review of the data available to us about Jai Medical Centre 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 Jai Medical Centre, you can give feedback on this service.
We carried out an announced comprehensive inspection at Jai Medical Centre (known as Jai Medical Centre - Edgware) on 4 May 2016. During the inspection we identified a range of concerns including an absence of documentation allowing the practice’s Health Care Assistant to legally administer medicines and an absence of a robust complaints management system. (The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Jai Medical Centre on our website at www.cqc.org.uk).The overall rating for the practice was requires improvement.
An announced comprehensive inspection was undertaken on 22 June 2017. Overall the practice is now rated as good.
We noted that although Jai Medical Centre Edgware and Jai Medical Centre Hendon held separate CQC registrations, their NHS contract defined them as a main location and branch location with a single patient list. Consequently, national GP patient survey results and QOF results relate to both practices. We also noted that an application had been submitted to CQC to amend its practice registration and seek alignment with its NHS contract.
Our key findings of our inspection of Jai Medical Centre Edgware were as follows:
Appropriate documentation was now on file to legally allow the practice’s Health Care Assistant to administer medicines.
Action had been taken to improve the monitoring of patient outcomes in that this information was now available at the practice level.
Action had been taken to improve complaints management in that filing systems were now well organised and there was a clear system in place to ensure that learning from complaints was documented and shared with staff.
We noted that due to the nature of the NHS contract, national GP patient survey related to Jai Medical Centre Edgware and Jai Medical Centre Hendon. However, we saw evidence of how Jai Medical Centre Edgware had acted on patient feedback from other sources such as complaints and significant events.
Clinical audit was being used to drive quality improvement.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
The areas where the provider should make improvement are:
Continue to monitor and take action as necessary to improve cervical screening and child immunisation uptake rates.
Continue with efforts to improve patient satisfaction regarding its phone system.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Jai Medical Centre – Edgware on 4 May 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected at Jai Medical Centre – Edgware were as follows:
The areas where the provider must make improvements are:
In addition the provider should:
Chief Inspector of General Practice
During the inspection we found that on nine occasions the temperature of the fridge, used to store vaccines requiring cold storage had exceeded the maximum temperature of 8 degrees Celsius. For vaccines to be effective, it is important that they are stored within the temperature range recommended by manufacturers to ensure that they remain effective. On those occasions we found no information had been provided as to why this rise in temperature had occurred or what actions had been taken to address the temperature increase.
We spoke to staff about their recent training in the management of the cold chain. A practice nurse was able to explain best practice as recommended by the Health Protection Agency and what to do should the fridge exceed the maximum temperature of 8 degrees Celsius.
At the inspection in September 2013 we also found that although the majority of drugs were in date, three medicines had past their expiry dates when checking medications stored in the fridge.
At this inspection we found improvements had been made. We checked the fridge temperature recording information recorded since December 2013. We found on three occasions the temperature had exceeded 8 degrees Celsius. We found that on each occasion the reason for this was noted along with the time and date.
We looked at vaccines held in the practice fridge. We found all vaccines to be in date. We also found that the stock management of the fridge was being maintained.
Care and treatment was planned and delivered in a way that was intended to ensure patient's safety and welfare. There were arrangements in place to deal with medical emergencies. Staff had received cardio pulmonary resuscitation training and would therefore be able to deal with a medical emergency.
The practice had the relevant safeguarding policies and procedures to follow should they have concerns about a child or vulnerable adult. Staff had received relevant training to ensure patients were protected from the risk of abuse.
The practice lacked robust checks of stocked medication as there were some out of date drugs in the fridge. Information relating to immediate action taken to rectify increased temperatures of the fridge were not in place. This meant that there was a risk that vaccinations had not been stored safely to ensure their potency.
There were systems in place to monitor the quality of service provided and patients. Patients and their representatives were asked for their views about their care and treatment, although this system could be better publicised to all patients.