• Doctor
  • GP practice

Wallington Family Practice

Overall: Good

Jubilee Health Centre West, Shotfield, Wallington, Surrey, SM6 0HY (020) 8669 6186

Provided and run by:
Wallington Family Practice

Latest inspection summary

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Background to this inspection

Updated 19 January 2017

Wallington Family Practice provides primary medical services in Wallington to approximately 15,000 patients and is one of 27 member practices in the NHS Sutton Clinical Commissioning Group (CCG). The practice operates under a Personal Medical Services (PMS) contract and provides a number of local and national enhanced services (enhanced services require an increased level of service provision above that which is normally required under the core GP contract).

The practice population is in the third less deprived decile with income deprivation affecting children and adults lower than national averages. The practice clinical team consists of four GP partners; one full time and two part time female GP partners and one full time male GP partner. There are three male and one female part time salaried GPs and there are two full time GP registrars. The GPs together provide 75 clinical sessions per week. The nursing team is led by one full time female nurse team manager, four part time and one full time female practice nurses and one full time female Health Care Assistant (HCA). The non-clinical team is led by the practice manager, supported by a reception team leader, senior secretary and 14 reception, administrative and secretarial staff.

Wallington Family Practice operates from a purpose built health centre, shared with another GP Practice and local CCG services such as X-Ray and ultrasound facilities. The building is managed and maintained centrally. The practice utilises space on all three floors of the building. There is a shared reception waiting area on the ground floor with disabled access facilities, other patient facilities and clinical consulting and treatment rooms. There are two lifts each serving the first and second floors. The first floor has further consultation and treatment rooms, patient facilities and waiting areas. The second floor is used for staff facilities, meeting rooms, a library and practice management offices. There is limited parking available to the front of the health centre, parking is also available through local car parks and there are good transport links. The main reception area displays local bus and train times for patients. The property is wheelchair accessible with step free access throughout.

The practice opens between 8.00am and 6.30pm Monday to Friday. Appointments are available between 8.00am and 6.30pm Monday to Friday. Telephone lines are operational between the hours of 8.00am and 6.30pm Monday to Friday. Extended hours are available on Wednesday evenings from 6.30pm to 7.30pm and Saturday mornings from 8.30am until 11.30 am for pre booked appointments.

The provider has opted out of providing out-of-hours (OOH) services to their own patients between 6.30pm and 8.00am, at weekends and bank holidays when the practice directs patients to seek assistance from the locally agreed out of hours provider.

The practice is registered with the Care Quality Commission to provide the regulated activities of maternity and midwifery services, family planning, treatment of disease, disorder or injury and diagnostic and screening procedures.

The practice was previously inspected by CQC in November 2013 and met all required standards.

Overall inspection

Good

Updated 19 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wallington Family Practice on 9 September 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • 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.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 19 January 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 local clinical commissioning group (CCG) and national average.

  • 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.

Families, children and young people

Good

Updated 19 January 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 82%, which was comparable to the CCG average of 82% and the national average of 82%.

  • 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.

  • The practice registered family groups with the same GP for continuity of care.

Older people

Good

Updated 19 January 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, and offered home visits and urgent appointments for those with enhanced needs.

  • All older people had a named GP responsible for their care.

Working age people (including those recently retired and students)

Good

Updated 19 January 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 as well as a full range of health promotion and screening that reflects the needs for this age group.

People experiencing poor mental health (including people with dementia)

Good

Updated 19 January 2017

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

  • Performance for diabetes related indicators was comparable to the local clinical commissioning group (CCG) and national average.

  • 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 19 January 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.