• Doctor
  • GP practice

Island Medical Centre

Overall: Good read more about inspection ratings

Roserton Street, London, E14 3PG (020) 7987 4231

Provided and run by:
Hurley Clinic Partnership

Latest inspection summary

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Background to this inspection

Updated 28 February 2017

Island Medical Centre is located on the Isle of Dogs, East London. It is part of the Tower Hamlets Clinical Commissioning Group (CCG). It is also a member practice of the Hurley Group Partnership. The practice has a patient list of approximately 6200. Twenty nine percent of patients are aged under 18 (compared to the national practice average of 20%) and 6% are 65 or older (compared to the national practice average of 17%). Thirty seven 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 two GP partners (male and female), and three salaried GPs (two male and one female) offering a total of 27 sessions per week. The practice also uses two regular locum GPs that offer a further 13 sessions per week. The practice also consists of three part time female practice nurses and two healthcare assistant, together offering a total of six sessions per week, a part time practice manager secretarial and reception staff. Island Medical Centre holds a Personal Medical Service (PMS) contract with NHS England.

The practice’s opening hours were:

  • Monday, and Wednesday 8:00am-8:00pm
  • Tuesday, Thursday and Friday 8:00am to 6:30pm
  • Saturday 9:00am to 1:00pm

Appointments were available at the following times:

  • Monday 9:00am to 7:20pm
  • Tuesday 9:00am to 6:00pm
  • Wednesday 8:30am to 7:20pm
  • Thursday 9:00am to 6:00pm
  • Friday 9:00am to 6:00pm
  • Saturday 9:00am to 12:30pm

In addition to pre-bookable appointments that could be booked up to four weeks in advance, urgent appointments were also available for people that needed them. When the practice was closed, patients were directed to a local out of hour’s provider.

The practice is registered to provide the following regulated activities which we inspected: treatment of disease, disorder or injury; diagnostic and screening procedures, surgical procedures, family planning and maternity and midwifery services.

The practice had not been inspected previously.

Overall inspection

Good

Updated 28 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Island Medical Centre on 9 January 2017. Overall the practice is rated as good.

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

  • The practice had undertaken a legionella risk assessment but had not acted on a recommendation for staff training.
  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Significant events and complaints were shared between all practices within the Hurley Group (of which Island Medical Centre was a member) to provide wider staff learning.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

  • Undertake staff legionella training as outlined in the legionella test carried out in November 2016.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

People with long term conditions

Good

Updated 28 February 2017

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.

  • Performance for diabetes related indicators was comparable to the CCG and to the national average. Forty-five minute appointments were available for diabetic review consultations.

  • Twenty minute appointments were available as a standard for patients with long term conditions.

  • 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.

Families, children and young people

Good

Updated 28 February 2017

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 a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

  • Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

  • The practice’s uptake for the cervical screening programme was 76%, which was below the CCG average of 78% and the national average of 81%.

  • Appointments were available outside of school hours and the premises were suitable for children and babies.

    We saw positive examples of joint working with midwives and health visitors.

Older people

Good

Updated 28 February 2017

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

  • The practice offered proactive, personalised care to meet the needs of the older people in its population.

  • The practice was responsive to the needs of older people. The practice offered home visits to house bound patients.

  • Urgent appointments were available for those with enhanced needs.

Working age people (including those recently retired and students)

Good

Updated 28 February 2017

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

  • The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

  • The practice was proactive in offering online services including booking appointments and ordering repeat prescriptions.

  • The practice offered online and telephone consultations.

  • A full range of health promotion and screening that reflects the needs for this age group was available.

People experiencing poor mental health (including people with dementia)

Good

Updated 28 February 2017

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

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    Mental health related performance indicators were above both the regional and national averages.

  • The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

  • The practice carried out advance care planning for patients with dementia.

  • The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

  • The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

  • Staff had a good understanding of how to support patients with mental health needs and dementia.

People whose circumstances may make them vulnerable

Good

Updated 28 February 2017

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

  • The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

  • The practice offered longer appointments for patients with a learning disability.

  • The practice regularly worked with other health care professionals in the case management of vulnerable patients.

  • 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.