Background to this inspection
Updated
8 January 2019
Dr Isis Neoman, also known as St George’s Medical Centre, operates from 9 Dollis Hill Lane, London, NW2 6JH. The practice provides NHS services through a General Medical Services (GMS) contract to approximately 2,300 patients. The practice premises are in a converted house based over two floors, with the consulting rooms situated on the ground floor. It is contracted to NHS Brent Clinical Commissioning Group (CCG) and regulated by Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, family planning, maternity and midwifery services and treatment of disease, disorder or injury.
The practice is a partnership of one female GP and a practice manager. The clinical staff comprises of one female GP and a male locum GP who provide a combination of nine sessions per week, one practice nurse who works 16 hours per week and a healthcare assistant who works 15 hours per week. The clinical team is supported by one practice manager support and four reception staff.
The practice opening times are from 8.00am and 6.00pm on Monday to Friday and appointments are from 8.00am to 1.00pm every morning and 3.00pm to 6.00pm daily. The practice does not offer extended hours. Patients calling the practice when it is closed are informed about their out of hours provider, Care UK.
Services provided include chronic disease management, child health surveillance, antenatal and postnatal care, cervical health screening, sexual health screening, NHS health checks, dietician, smoking cessation, ECG monitoring, 24-hour ambulatory blood pressure monitoring and phlebotomy.
The patient profile for the practice indicates a diverse population of working age people, with a larger proportion of adults in the 35 to 54 age range.
Updated
8 January 2019
This practice is rated as Good overall. (Previous rating November 2017 – Inadequate)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Dr Isis Neoman on 30 March 2016 and the overall rating for the practice was Requires Improvement. We issued Requirement notices under Regulation 12, 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
An announced comprehensive inspection was carried out on 15 November 2017 to confirm that the service had carried out their plan to meet the requirements in relation to the Requirement Notices issued. The overall rating for the practice was Inadequate and the practice was placed in special measures for a period of six months. Following the inspection, one Requirement Notice was issued under Regulation 19 and two warning notices were issued under Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The full comprehensive reports on the March 2016 and November 2017 inspections can be found by selecting the ‘all reports’ link for Dr Isis Neoman on our website at cqc.org.uk
This inspection was an announced comprehensive inspection carried out on 17 October 2018, six months after the report was published. The purpose of the inspection was to confirm if the service had made sufficient improvements and be removed from special measures. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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.
- The practice recently increased their opening hours to allow greater patient access. Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- The practice actively sought patient views about their experience and quality of care and treatment. There was active Patient Participation Group who met with the practice on a regular basis.
- Results from the 2018 annual GP patient survey show patient satisfaction with the service had improved.
- The practice had adequate systems in place to supervise and monitor staff induction and training.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- Governance arrangements ensured that there were clear and effective processes for managing risks, incidents and performance. Support staff had been recruited to ensure the findings of the previous inspection were addressed and improvements were made.
The areas where the provider should make improvements are:
- Update the complaint and significant event logs to include the learning from the investigations.
- Add a review date to the infection control policy.
- Take action to address identified concerns with medicine prescribing and management.
- Continue to monitor and improve performance on quality indicators for some of the patient outcomes where performance is below average.
- Act to review audits at their recommended timeframe.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.