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Inspection Summary


Overall summary & rating

Good

Updated 19 February 2015

Letter from the Chief Inspector of General Practice

On 24 October 2014 we carried out an announced comprehensive inspection of Market Square Surgery, Waltham Abbey, Essex under our new approach of inspection of primary medical services.

We found that the practice was good across all the key areas we looked at and patients expressed a high level of satisfaction about the way the services were provided.

Our key findings were as follows:

  • The practice had systems and processes in place that made the practice safe for both patients and staff.
  • Staff were kind and caring and dedicated to providing high quality care and treatment. Patients privacy and dignity was maintained.
  • The practice were aware of the needs of their patients and tailored services to meet them
  • The practice worked well with other health care providers to achieve effective outcomes for their patients. Information sharing and communication with partner agencies helped support the levels of care and treatment received by patients.

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

The provider should:

  • The practice should undertake a Health and Safety Risk Assessment to ensure staff and patients are safe.

  • The practice should ensure staff are suitably trained in fire emergency procedures and that fire drills are practised at appropriate intervals.

  • The practice should review their repeat prescription system to ensure patients receive a regular review of their medicines.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection areas

Safe

Updated 19 February 2015

Effective

Updated 19 February 2015

Caring

Updated 19 February 2015

Responsive

Updated 19 February 2015

Well-led

Updated 19 February 2015

Checks on specific services

People with long term conditions

Good

Updated 19 February 2015

The practice is rated as good for people with long-term conditions. Patients with long-term conditions received regular health checks from a GP and were offered and signposted to support organisations to help them manage and understand their condition. Appointments with the nurse and health care assistant were readily available so that patients could be monitored. The practice worked with other health care providers for patients with complex needs through a multi-agency approach and regular meetings.

Families, children and young people

Good

Updated 19 February 2015

The practice is rated as good for families, children and young people. There was an effective system in place to safeguard children from abuse through the use of a register identifying vulnerable patients. Staff had been trained in safeguarding and were able to identify the different signs of abuse. Mothers and babies could access postnatal and antenatal support from the Nurse and Health Care Assistants. The practice followed immunisation guidance for young babies and children and these were effective. Young people were able to book appointments without a parent being present, subject to satisfying GPs of their ability to understand the care and treatment suggested.

Older people

Good

Updated 19 February 2015

The practice is rated as good for older people. Patients over 75 had a named GP who was responsible for the oversight and coordination of their care. Care plans were in place for older people with complex needs. GPs and other health care professionals worked together in a multi-disciplinary way to provide the best care and treatment and to reduce unplanned hospital admissions. Care and treatment was personalised and met the needs of older people. Dementia screening took place to try and identify those patients showing signs of the illness so they could be referred to specialists early to enable them to receive support and treatment to help them manage the condition. The appointment system reflected the needs of the elderly. Telephone consultations and home visits were available if necessary and older patients were given priority. An effective flu vaccination programme was in place.

Working age people (including those recently retired and students)

Good

Updated 19 February 2015

The practice is rated as good for working age people. The appointment system met the needs of these patients. A late evening surgery was available one day each week for working people or those who could not attend during the day. Daytime appointments could be booked on the same day or the next day. The practiced promoted healthy living and appointments were available with the practice nurse for lifestyle advice. This included smoking cessation and alcohol advice designed to prevent ill health in the future. The student population was encouraged to register at the practice as temporary residents.

People experiencing poor mental health (including people with dementia)

Good

Updated 19 February 2015

The practice is rated as good for people experiencing poor mental health. A nurse trained in mental health worked at the practice for one day each week. Suitable patients were referred to her for support and counselling. Timely referrals were made to specialists after a dementia diagnosis so early medical intervention could be achieved. Patients who were diagnosed with dementia were then included on a register and their condition monitored after discharge from a specialist.

People whose circumstances may make them vulnerable

Good

Updated 19 February 2015

The practice is rated as good for people whose circumstances may make them vulnerable. A register was maintained of patients with learning disabilities and they were invited to attend an annual review or more frequently if considered necessary. A double appointment was made available to them to ensure their needs were covered. Carers of those living in vulnerable circumstances were identified and offered support including signposting them to external agencies. The practice had a travelling community nearby and a number of refugees as patients. Information and registration packs were available for these groups when registering at the practice.