Archived: Dr Viney Jhanjee Also known as Lodge Road Surgery

Updated 8 October 2015

Dr VK Jhanjee provides primary medical services to approximately 3660 patients within the densely populated and deprived local community of Smethwick. Patients consist of 50% black and ethnic minority groups.

There are two partner GPs and two locum GPs, who between them provide 15 clinical sessions per week. There is a full time practice nurse who is supported by a health care assistant (HCA) who works 15 hours per week. The practice is open from 9am until 6.30pm each day with the exception of Thursday afternoons when the practice is closed from 1pm. Appointments were available between 9am and 12pm and 4pm until 6.30pm. Patients requiring a GP outside of these hours are advised to contact an external out of hour’s service or attend to a local walk-in centre. The number of this service is available in the waiting area, in the practice leaflet and on the practice website. The out of hour’s service is provided by Primecare.

The practice has a General Medical Service (GMS) contract with NHS England. A GMS contract means that patients are registered with the practice and not an individual GP but the practice will focus on delivery of quality clinical care and well managed services. The practice offers enhanced services such as health checks for all patients who have a learning disability.

Updated 8 October 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr VK Jhanjee also known as Lodge Road Surgery on 21 July 2015. Overall the practice is rated as good.

Specifically, we rated the practice as good for providing safe, effective, caring, responsive and well led services for the following population groups:

• Older people
• People with long term conditions
• Families, children and young people
• Working age people (including those recently retired and students)
• People whose circumstances may make them vulnerable
• People experiencing poor mental health (including people with dementia)

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

• There were systems in place to monitor and reduce safety risks including analysing significant events. Safeguarding concerns were identified and appropriate actions taken to safeguard patients. Infection control measures were in place to protect patients from unnecessary infections. Safe recruitment procedures were in place. Medicines and vaccines were appropriately stored and in date.
• Patients had their needs assessed in line with current guidance and the practice had a proactive approach to patient care. Practice staff promoted health education and screening to empower patients to maintain their health.
• Feedback from patients and observations throughout our inspection showed that staff were professional, kind, caring and helpful. Patient care was met by staff who had received appropriate training. Patients told us they were satisfied with the standards of care they received. Practice staff worked with other healthcare providers to deliver co-ordinated care and regularly reviewed the care needs of patients with complex needs.

• There were systems in place to respond and act upon complaints and feedback from patients. Practice staff had identified carers and entered them on a register. The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG). GPs offered carers advice and signposted them to various support groups.

• The practice had a clear vision which had quality and safety as its top priority. High standards were promoted and owned by all practice staff with evidence of team working across all roles. Effective systems were in place for reporting safety incidents. Untoward incidents were investigated and where possible improvements made to prevent similar occurrences.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 8 October 2015

The practice was rated good for people with long term conditions. All these patients had structured reviews every three, six or 12 months depending on their needs. We saw evidence of care plans that were in place to help manage and better co-ordinate patients care. Patients were able to see a GP in an emergency if their health was deteriorating. Specialist health professionals regularly visited the practice and worked jointly with practice staff in providing diabetic clinics. The practice nurse maintained weekly contact with some patients who had diabetes to ensure they were able to self-medicate and if necessary provided further training. All patients who had heart failure; hypertension, asthma, cancer, kidney disease, epilepsy, rheumatoid arthritis and cancer had been reviewed.

Updated 8 October 2015

The practice was rated good for care of families, children and young people. A GP partner was the safeguarding lead for the practice. Records showed that senior staff sought advice from health and other social care professionals when necessary. Systems were in place for identifying and following up children who were at risk of harm. Requests for young children’s appointments were booked for the same day. Childhood immunisation was provided at the practice. Cervical screening was offered to female patients. Midwives held ante natal clinics at the practice.

Updated 8 October 2015

The practice was rated good for providing services for older people. Practice staff offered proactive, personalised care to meet the needs of older patients. There was a designated named GP for patients who were aged 75+ years and care plans were in place. All older patients had received annual health checks and where necessary, care, treatment and support arrangements were implemented. Practice staff were responsive to the needs of older people, including offering home visits and rapid access appointments for those with enhanced needs.

Updated 8 October 2015

The practice was rated as good for the care of working age people (including those recently retired and students). The practice did not provide extended hours but GP’s and the practice nurse offered telephone consultations to provide advice during the practice working hours. On line prescription ordering was available with a 48 turn around and on line appointment services. Practice staff carried out NHS health checks for patients between the ages of 40 and 74. Health promotion and prevention advice was provided by practice staff. A health trainer visited the practice each week and gave patients information about maintaining their health and well-being.

Updated 8 October 2015

The practice was rated good for people experiencing poor mental health (including people with dementia). Practice staff regularly worked with multidisciplinary teams in the case management of patients who experienced poor mental health and sign posted patients to the appropriate services. All patients who had depression or dementia had been reviewed which was above the local CCG average. Clinical staff used screening tools to identify those patients who were at risk. All staff worked within the boundaries of the Mental Capacity Act 2005 and had appropriate skills for supporting patients with dementia.

Updated 8 October 2015

The practice was rated good for the care of people whose circumstances may make them vulnerable. Face to face annual health checks were carried out and health plans developed for all patients who had a learning disability. The practice held a register of vulnerable patients. Senior staff held monthly multidisciplinary meetings to monitor the health and well-being of this patient group. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in and out of hours.