Archived: Dover House Surgery

Updated 15 June 2017

The Dover House Surgery practice is located in Edmonton, North London within the NHS Enfield Clinical Commissioning Group. The practice holds a General Medical Services contract (an agreement between NHS England and general practices for delivering primary care services to local communities). The practice provides a full range of enhanced services including childhood vaccination and immunisation, extended hours access, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal, minor surgery, rotavirus and shingles Immunisation and unplanned admissions.

The practice is registered with the Care Quality Commission to carry on the regulated activities of treatment of disease, disorder or injury, diagnostic and screening procedures, and maternity and midwifery services. The practice had a patient list size of 4,665 at the time of our inspection. The staff team at the practice included two GP partners (males), one regular GP locum (female), two practice nurses (females) and two part-time practice managers which equates to one full-time equivalent practice manager. The practice had six administrative staff. There were 17 GP sessions and six nurse sessions available per week.

The practices opening hours are:

• Monday to Friday from 8.00am to 6.30pm

Appointments with GPs are available at the following times:

• Monday from 9.00am to 12.00pm and 3.30pm to 6.30pm

• Tuesday from 8.30am to 12.00pm and 4.30pm to 6.30pm

• Wednesday from 8.30am to 12.00pm and 2.00pm to

• Thursday from 8.30am to 12.00pm and 3.30pm to
• Friday from 8.30am to 12.00pm and 4.30pm to 6.30pm

Extended hour appointments are available:

• Tuesday and Thursday from 6.30pm to 7.30pm

Walk-in clinic:

• Monday to Friday from 9.00am to 11.00am

Outside of these times patients are diverted to NHS 111 and referred to the out of hour’s provider if required. To assist patients in accessing the service there is an online booking system, and a text message reminder service for scheduled appointments. Urgent appointments are available daily and GPs also complete telephone consultations for patients.

Updated 15 June 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dover House Surgery on 9 August 2016. The overall rating for the practice was good, however the effective domain was rated requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Dover House Surgery on our website at www.cqc.org.uk.

This inspection was an announced desk-based review carried out on 16 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 9 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good overall including the effective domain.

Our key findings were as follows:

• There was a system in place for staff appraisals which included a comprehensive procedure; all staff were up to date with appraisals.

• There was a schedule of clinical audits which included two completed audits and a comprehensive clinical audit protocol policy.

• There was system in place to identify, record and provide support for carers. The number of carers recorded had increased to one percent of the patient population.

• The system for managing long term conditions and improving outcomes for patients suffering from mental health has been reviewed and significant increases in performance were achieved.

• Fire safety drills were carried out every six months, the most recent drill was completed in March 2017.

• Practice staff had been trained to use the defibrillator and there was an easy to read instruction guide available to all staff.

At our previous inspection on 9 August 2016, we rated the practice as requires improvement for providing effective services as there were no completed clinical audits, not all staff had been appraised and outcomes for patients with long-term conditions and mental health issues required improvement. At this inspection we found that the practice had a comprehensive system in place for clinical audits which included two completed audits within the last 12 months. We also found that the practice had updated and improved the appraisal system and all staff have been appraised within the last 12 months. We found that outcomes for patients with long-term conditions and those with mental health issues had improved. For example, patients with mental ill health who had a recorded care plan within the last 12 months had increased by 25% since our inspection in August 2016.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 15 June 2017

The practice is rated as good for the care of people with long term conditions. As the practice was found to be providing good services overall, this did not affect the rating for the population group we inspect against.

Updated 15 June 2017

The practice is rated as good for the care of families, children and young people. As the practice was found to be providing good services overall, this did not affect the rating for the population group we inspect against.

Updated 15 June 2017

The practice is rated as good for the care of older people. As the practice was found to be providing good services overall, this did not affect the rating for the population group we inspect against.

Updated 15 June 2017

The practice is rated as good for the care of working age people (including those recently retired and students). As the practice was found to be providing good services overall, this did not affect the rating for the population group we inspect against.

Updated 15 June 2017

The practice is rated as good for the care of people experiencing poor mental health. As the practice was found to be providing good services overall, this did not affect the rating for the population group we inspect against.

Updated 15 June 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable. As the practice was found to be providing good services overall, this did not affect the rating for the population group we inspect against.