Background to this inspection
Updated
20 December 2018
The Haiderian Medical Centre has two sites, one in Corbets Tey Road and a second in Dorkins Way. The main practice (Corbets Tey Road) is situated within a large converted house. Consulting rooms are situated on ground level with easy access for those with impaired mobility.
The practice is located in the London Borough of Havering and is part of the NHS Havering Clinical Commissioning Group (CCG) which is made up of 49 practices. It currently holds a Primary Medical Service (PMS) contract and provides NHS services to 6,242 patients. At the last inspection in March 2015 there were 4,746 patients registered. The growth in the list size was due to a merger, in 2016, with a neighbouring practice.
The practice has a higher population of patients aged over 65 than the England average (24.2% compared to 17.2%).
Five percent of the registered practice population were from Black, Asian and Minority Ethnic groups with the remaining 95% being white.
Information published by Public Health England rates the level of deprivation within the practice population group as tenth on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.
The service is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures (not currently undertaken) and the treatment of disease, disorder or injury.
The practice provides a range of services including child health and immunisation, minor illness clinic, smoking cessation clinics and clinics for patients with long term conditions. The practice also provides health advice, family planning and travel clinics.
The practice provides a number of enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract) including learning disability health checks. Private travel vaccinations are offered in addition to those available free of charge on the NHS.
There is currently one female GP Partner working five sessions, three salaried GPs (all female) working 11 sessions and a male long term locum working four sessions. There are also two female practice nurses working 12 sessions, nine administrative staff (one full-time and eight part-time) and a full time practice manager who is also a partner. The practice is accredited to provide training opportunities for qualified doctors seeking to become GPs. At the time of the inspection there was one male postgraduate doctor training at the practice.
The main practice located in Corbets Tey road is open between 8am and 7pm on a Monday, Thursday and Friday with appointments available between 8.30am and 12.30pm then 1.30pm to 6.30pm. On Tuesdays the practice is open between 8am and 7:30pm with appointments between 8.30am and 12.30pm then between 1.30pm and 6.30pm with extended hours between 6.30pm and 7:30pm. The practice opens Wednesday between 8am and 7pm with appointments between 8.30am and 12.30pm. The practice does not hold a surgery on a Wednesday afternoon.
Patients are signposted to the local out of hours provider. The second practice in Dorkins Way is open between 8am and 2pm each week day and offered appointments between 8.30am and 1.30pm. The practice opted out of providing an out of hours service and refers patients to a local out of hours provider or the ‘111’ service.
Updated
20 December 2018
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection 25 March 2015 – Good)
The key questions are rated as:
Are services safe? - Good
Are services effective? - Good
Are services caring? - Good
Are services responsive? - Outstanding
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People - Outstanding
People with long-term conditions - Good
Families, children and young people - Outstanding
Working age people (including those recently retired and students - Good
People whose circumstances may make them vulnerable - Outstanding
People experiencing poor mental health (including people with dementia - Good
We carried out an announced inspection at Haiderian Medical Centre on 29 March 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014 as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Patients said they found it easy to make an appointment with a named GP and that there was continuity of care. For example same day urgent appointments were available.
- The practice has a strong community involvement
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw areas of outstanding practice in the responsive provision of extra services and support to all of the population groups. For example:
- The practice embraced social prescribing, hosting a regular afternoon tea party, aimed at targeting social isolation and loneliness in the elderly.
- The practice had run a workshop for parents of children under 5 years old who had presented frequently with their children, for minor ailments that would have been suited to home care. GPs delivered educational information on the three most common minor ailments seen at the practice e.g. cough, fever and ear pain.
- The practice had run a healthy lifestyle workshop for people eligible for the NHS Health Checks.
- The practice had also worked with a private company that specialised in Virtual Reality (VR) use in Healthcare. Using their experience the practice was able to use VR for therapeutic purposes, such a relaxation for the patient and respite for the carers.
There were areas where the Provider could make improvements and the should:
- Consider improving the way in which carers are identified so as to increase the numbers who support can be offered to.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice