Background to this inspection
Updated
4 July 2017
Stuart Crescent Health Centre is located in Haringey, North London. The practice has a patient list of approximately 3876. Twenty six percent of patients are aged under 18 (compared to the national practice average of 15%) and 20% are 65 or older (compared to the national practice average of 17%). Fifty nine 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 partner (working 9 sessions a week), a regular female locum GP working four sessions per week (we were informed following the inspection that the locum had recently relinquished a partnership position at the practice following retirement, but continued to work as a locum). The practice was in the process of changing registration status, a female practice nurse (working three days a week), a business manager, practice manager, secretarial and reception staff. Stuart Crescent Health Centre holds a Personal Medical Service (PMS) contract with NHS England.
The practice’s opening hours are:
Appointments are available at the following times:
The practice offers extended hours opening at the following times:
The telephone lines are diverted to the out of hour’s provider when the practice is closed.
In addition to pre-bookable appointments that could be booked up to four weeks in advance, urgent appointments are also available for people that need them.
The practice is registered to provide the following regulated activities which we inspected: family planning, treatment of disease, disorder or injury; diagnostic and screening procedures, surgical procedures and maternity and midwifery services.
Updated
4 July 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Stuart Crescent Health Centre on 5 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Stuart Crescent Health Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 17 May 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 5 September 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
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Fridge temperatures were being accurately recorded and there was a designated member of staff to check temperatures in the absence of the nurse.
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Patient Group Directions (PGDs) were signed and up to date so nurses could administer medicines in line with legislation.
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All emergency equipment was in date and there was a log to check expiry dates.
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Patient records were appropriately completed in respect of childhood immunisations.
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A system was in place to effectively monitor latest guidelines (NICE, MHRA) and new guidelines were discussed in practice meetings.
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A log of prescription pads was held and pads were kept secure.
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Carers had been identified and coded onto the practice system. Twenty five patients had been identified as carers (less than 1% of practice list) The practice was looking at ways to further provide support to them.
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The practice had looked into ways to improve cervical screening results, including text message reminders. The practice had achieved 78% for the cervical screening programme in 2016 compared to 71% in the previous year.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
4 July 2017
The provider had resolved the concerns for safety and well-led identified at our inspection on 5 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Families, children and young people
Updated
4 July 2017
The provider had resolved the concerns for safety and well-led identified at our inspection on 5 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Updated
4 July 2017
The provider had resolved the concerns for safety and well-led identified at our inspection on 5 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Working age people (including those recently retired and students)
Updated
4 July 2017
The provider had resolved the concerns for safety and well-led identified at our inspection on 5 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People experiencing poor mental health (including people with dementia)
Updated
4 July 2017
The provider had resolved the concerns for safety and well-led identified at our inspection on 5 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People whose circumstances may make them vulnerable
Updated
4 July 2017
The provider had resolved the concerns for safety and well-led identified at our inspection on 5 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.