Archived: Dr Adebisi and Partners

Updated 10 June 2016

Dr Adebisi and Partners is also referred to as the Laindon Health Centre. The practice shares the Laindon Health Centre with another GP practice, a dentist and community health services (health visitors, Essex ultrasound and heart failure clinics). The administrative and nursing team are jointly employed by Dr Adebisi and Partners and the other GP practice in the building with both practices sharing the waiting and treatment rooms.

Dr Adebisi and Partners, consist of two female partners who are supported by two locum GPs (male) and five practice nurses, two healthcare assistants and a care coordinator shared between the practices. The clinical teams are supported by receptionists, administrative staff overseen by a practice manager.

The practice has a patient population of approximately 7186; their patient list was closed at the time of inspecting. The practice serves a deprived community and Basildon, in which it is situated, has the highest under 18 year old conception rate in Essex.

The practice is open between 8am to 7.15pm Monday to Thursday, Friday 8am to 6.30pm and Saturday 8.45am to 12.45pm. Appointments are from 8.50am to 11.40am and 3pm to 5.40pm Monday to Friday. Emergencies available until 6.30pm daily. Saturdays the practice appointments operate from 9am to 12noon. Extended hours surgeries were offered on Saturday morning, 8.40am to 12.45 and the consultations times are 9am to 11.30am. These were for routine bookable appointments. The practice offers on line appointments and on line ordering of repeat prescriptions. Patients can request an on the day telephone consultation with a GP and/or nurse. In addition to pre-bookable appointments that can be booked up to six weeks in advance, urgent appointments are also available for people that needed them.

When the practice is closed patients are advised to call the surgery and be directed. Alternatively they may call the national NHS 111 service for advice. Out of hours provision is commissioned by Basildon and Brentwood CCG, and provided by IC24.

The practice has a comprehensive website providing details of services and support agencies patient may find useful to access.

Updated 10 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Adebisi and Partners Surgery on 11 May 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an established and effective system in place for reporting and recording significant events. However, improvement could be made in the documenting of subsequent decisions and actions.
• Safety alert information was appropriately actioned.
• Staff understood and were confident identifying and escalating safeguarding concerns. The practice followed up on non-attendance by vulnerable persons at hospital appointments.
• Risks to patients were assessed and well managed with health and safety and infection prevention control processes in place.
• Staff assessed needs and delivered care in line with current evidence based guidance and standards.
• Data from the Quality and Outcomes Framework (QOF) showed patient outcomes were at or above average compared to the national average. The practice had achieved 98% of the points available and was not an outlier for any data.
• Staff received detailed inductions, training and performance and development reviews to undertake their roles and deliver effective care and treatment.
• The practice had appointed a carer’s champion and staff had access to a range of helpful literature.
• The practice provided a range of services, offering extended hours on a Saturday morning and open access daily to their nursing team.
• Some patients said they experienced difficulties making a GP appointment. Urgent appointments and telephone appointments were available on the day.
• The practice had good facilities and was well equipped to treat patients and support them to self-manage their conditions.
• The practice were planning to merge with their neighbouring practice to provide a sustainable service to meet the growing needs of their patient groups.
• The practice had an active Patient Reference Group who worked with the practice on promoting health campaigns.
• There was an overarching governance framework which supported the delivery of the strategy and good quality care. This included arrangements to monitor and improve quality and identify risk.
• The practice staff told us they enjoyed their work and felt valued.

The areas where the provider should make improvement are:

• Ensure comprehensive cleaning records are maintained.
• Ensure records of multidisciplinary meetings and significant incidents are comprehensively minuted including persons in attendance, actions assigned, updated or reviewed.
• Read code patients for failure to attend hospital appointments.
• Ensure the clear documenting of decisions and actions relating to the investigation and review of significant incidents.
• To improve patient experiences of the service in response to the survey data.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 June 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• Patients were encouraged to learn about their conditions and promoted self-monitoring with access to in house diagnostic equipment e.g. 24 hours blood pressure monitoring, spirometry and pulse oximetry.
• Prebooked reviews were scheduled for diabetic, COPD, asthma patients.
• The practice achieved similar to or above the national average for their management of diabetes patients. For example, Patients on the diabetic register who had the influenza immunisation had similar to the national average, achieving 92% in comparison with the national average 94%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met.
• For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.
• GPs contacted their palliative care patients prior to holidays and weekends to confirm all care needs were being met.

Updated 10 June 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had failed to attend hospital appointment, all of whom were contacted to ensure their care needs were being met.
• Immunisation rates were high for all standard childhood immunisations.
• The practice operated open access to their nursing team to provide child immunisations and eight week check and contraceptive advice.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• Promoted cervical screening for their patients but were below the national average for their screening rates.
• We saw positive examples of joint working with midwives, health visitors and school nurses where there were safeguarding concerns relating to a child.

Updated 10 June 2016

The practice is rated as good for the care of older people.

• The practice worked closely with their care coordinator to reduce unplanned admissions and improving patient’s quality of life with mobility aids.
• Home visits were conducted by the GP and care coordinator and flu vaccinations conducted.
• They operated a direct telephone access for care homes and paramedics to access their clinical team for advice and guidance relating to their patients.
• Next of kin details were updated.

Updated 10 June 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The practice operated extended opening times on a Saturday morning for pre-booked appointments. These proved popular with the patients who commuted for work.
• The practice was proactive in offering online services and telephone consultations where appropriate.
• The practice offered open access to their nursing team who provided a full range of health promotion and screening that reflects the needs for this age group.
• Minor surgery and joint injections were provided at the surgery including Saturday mornings.

Updated 10 June 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice conducted dementia screening and worked closely with their care coordination in assessing and meeting their patient’s needs.
• The practice achieved above the national average for their management of patients with poor mental health.
• Staff had received training in dementia awareness and had a good understanding of how to support patients with mental health needs and dementia.
• The practice actively screened patients for dementia and had conducted face to face reviews on 94% of their patients with dementia. This was above the national average. They conducted advance care planning for such patients including detailing their preferred place of care.
• The practice held multi-disciplinary team meetings three monthly to review the case management of patients experiencing poor mental health, including those with dementia.
• The practice prescribed medicines daily for patients who may abuse their medicines and potentially harm themselves.
• Annual mental health reviews were conducted and patients, called, written to and some reminded on the day to attend their appointments.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice called patients who had failed to attend hospital appointments to ensure their care needs were being fully met.

Updated 10 June 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice maintained a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.
• Longer appointments were available for patients who required them and separate quiet waiting rooms were available.
• The practice worked with other health care professionals in the case management of vulnerable patients in addition to reviewing their care quarterly during their multidisciplinary meetings.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.