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Jai Medical Centre (Brent) Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 3 December 2019

We carried out an announced focused inspection at Jai Medical Centre (Brent) on 1 October 2019 as part of our inspection programme. We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection was planed to focus on the following key questions:

  • Is the service effective?
  • Is the service caring?
  • Is the service well-led?

During the inspection we decided to additionally include the following key question:

  • Is the service safe?

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

  • During our inspection, we visited one surgery, the Sheldon practice. But our findings relate to both sites.

  • Because of the assurance received from our review of information we carried forward the rating for the following key question: Is the service responsive? The practice is rated as Good for this key question.

We have rated this practice as inadequate overall.

We rated the practice as

inadequate

for providing safe services because:

  • The practice did not have clear systems and processes to keep patients safe.
  • The practice did not have appropriate systems in place for the safe management of medicines.
  • The practice did not have effective systems in place to follow-up urgent referrals.
  • The practice did not have an effective system to learn and make improvements when things went wrong.

We rated the practice as

inadequate

for providing well-led services because:

  • While there were some governance systems in place these were not comprehensive
  • The practice had not identified clear gaps in governance and was not managing risks effectively.
  • Systems and processes for sharing learning were weak.

We rated the practice as

good

for providing effective and caring services because:

  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.

The areas where the provider

must

make improvements are:

  • Ensure that care and treatment is provided in a safe way.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider

should

make improvements are:

  • Review any further appropriate actions that could be taken to improve the cervical screening uptake rate and take action on related issues (such as read coding) which have already been identified

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas
Checks on specific services

People with long term conditions

Good

Families, children and young people

Requires improvement

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good