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Dr Oliver, Hunter & Gozzelino Good Also known as The Strand Medical Centre

Inspection Summary


Overall summary & rating

Good

Updated 19 February 2015

Letter from the Chief Inspector of General Practice

This is the report from our inspection of Dr Morris, Oliver, Ferguson & Gozzelino at the location the Strand Medical Centre which is registered with the Care Quality Commission to provide primary care services.

We undertook a planned, comprehensive inspection on the 11 November 2014 at the Strand Medical Centre. We reviewed information we held about the services including patients’ comments and spoke with GPs, staff and patients.

Dr Morris, Oliver, Ferguson & Gozzelino are rated as good overall.

Our key findings were as follows:

  • The premises were clean and tidy. Systems were in place to ensure medication including vaccines were appropriately stored and in date.

  • The practice was effective. Patients had their needs assessed in line with current guidance and the practice promoted health education to empower patients to live healthier lives.

  • The practice was caring. Feedback from patients and observations throughout our inspection highlighted that the staff were kind, caring and helpful. Patients we spoke with felt involved in treatment decisions.

  • The practice was responsive and acted on patient complaints and feedback.

  • The staff worked exceptionally well together as a team.

However, there were also areas of the practice where the provider could make improvements.

The provider should:

  • Put systems in place to monitor the use of prescriptions in line with national guidance to prevent inappropriate use of prescription forms.
  • Document any staff meetings to ensure good communications between staff, for example, regarding learning points from incidents or complaints.
  • Carry out a Legionella risk assessment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 4 April 2018

Effective

Good

Updated 4 April 2018

Caring

Good

Updated 4 April 2018

Responsive

Good

Updated 4 April 2018

Well-led

Good

Updated 4 April 2018

Checks on specific services

People with long term conditions

Good

Updated 19 February 2015

There were registers of patients with long term conditions which enabled the practice to monitor and arrange appropriate medication reviews. The Practice Nurse supported patients with a variety of long term conditions such as chronic obstructive pulmonary disease. Health care assistants took bloods to avoid patients attending hospital for routine checks.

The practice worked with the local Clinical Commissioning Group (CCG) on local initiatives.

Families, children and young people

Good

Updated 19 February 2015

Mothers and babies at 6 weeks old were routinely checked by the Health Visitor and GP. After this consultation, appointments were made for the baby to have immunisations with the Practice Nurse.

The practice had a system in place for flagging up those children who had not received their vaccinations and the practice was encouraging follow up visits. The Practice Nurse had recently received refresher training on immunisations.

The practice had a system for ensuring that children requiring prompt care were seen as a priority.

Older people

Good

Updated 19 February 2015

The practice was responsive to the needs of older people, including offering home visits. GPs from the practice also carried out visits to care homes in the area.

The practice had a register for patients who had dementia and also for patients requiring palliative care. The practice held Gold Standard Framework meetings to discuss patients who required palliative care with other health care professionals to ensure patients received ‘joined up’ care appropriate to their needs. In addition the practice participated in a local initiative called a ‘Virtual Ward’ which aimed to treat elderly patients at home with the help of other healthcare professionals such as district nurses to avoid admission to hospital.

The practice proactively encouraged older people to receive immunisations such as the flu and shingles vaccines.

Working age people (including those recently retired and students)

Good

Updated 19 February 2015

The practice had offered extended opening hours one evening per alternate week from 6.30 pm - 8.00 pm and alternate Saturday mornings 9.00 am - 11.30 am for pre-booked appointments. These appointments were to improve access for patients who found it difficult to attend weekday appointments due to work or other commitments.

People experiencing poor mental health (including people with dementia)

Good

Updated 19 February 2015

The practice maintained a register of patients who experienced poor mental health. The register was used by clinical staff to offer patients an annual physical health check and medication review. Patients had a comprehensive care plan agreed with the patient or family/carer where appropriate.

The practice had a nominated GP to act as lead for mental health patients and had carried out an audit of mental health referrals to ensure they were appropriate and in line with other practices locally. The practice liaised with local services for example, Inclusion Matters. Patients where necessary were referred to this service and patients were followed up on the outcomes of their treatment.

People whose circumstances may make them vulnerable

Good

Updated 19 February 2015

The practice kept a list of patients with learning disabilities and arranged support and an annual health check. GPs from the practice carried out visits to a local care home that had a unit for younger stroke patients.

One GP took the lead responsibility for looking after patients with drug and alcohol addiction problems. They liaised with the local drugs and alcohol team and reviewed patients regularly.

An advisor from The Citizen’s Advice Bureau also held sessions at the surgery once a week to help more vulnerable people, for example, with understanding their benefits.