Pinner View Medical Centre - Care Quality Commission

Latest inspection summary

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

Background to this inspection

Updated 2 February 2017

Pinner View Medical Centre is situated at 33 Pinner View, Harrow, HA1 4QG. The practice provides primary medical services through a Personal Medical Services (PMS) contract to approximately 4000 people living in the local area. The practice is part of NHS Harrow Clinical

Commissioning Group (CCG).

The practice population has an above average number of people between 25-39 and 50-64 years of age. The population has a high incidence of diabetes, tuberculosis, coronary heart disease and obesity. The predominant ethnicity is Asian, though there is also a growing number of eastern Europeans in the practice population. The practice area is rated in the second least deprived decile of the Index of Multiple Deprivation (IMD). People living in more deprived areas tend to have greater need for health services.

The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder or injury and maternity and midwifery services.

The practice team consists of a female GP partner (nine sessions per week), a male long-term locum GP (eight sessions per week), a female locum GP (two sessions per week), a nurse who worked two days per week but had been on sick leave since October and the healthcare assistant was on maternity leave at the time of the desk top review. The clinical team are supported by a practice manager and a team of four reception / administration staff. There is a male senior partner who is currently on sick leave. There is also a link nurse working at the practice two days per week.

The practice opening hours are 8am to 6pm Monday to Friday. Appointments are from 8:30am to 12 midday every morning and 3pm to 6pm daily. Extended hours appointments are offered 9am-11 am every Saturday morning. For out-of-hours (OOH) care including weekends and Wednesday afternoons patients are instructed to contact the NHS 111 service where they are directed to local OOH services.

Services provided include; antenatal, postnatal and child health services, immunisations, NHS health checks, cervical screening, contraception, chronic disease management, joint injections, cryotherapy, phlebotomy, travel vaccinations including yellow fever, spirometry, dementia screening and care planning.

Overall inspection

Good

Updated 2 February 2017

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Pinner View Medical Centre, for areas within the key question effective. This review was completed on 15 December 2016.

Upon review of the documentation provided by the practice, we found the practice to be good in providing effective services. Overall, the practice is rated as good.

The practice was previously inspected on 20 May 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated overall as ‘good’. However, within the key question effective an area was identified as ‘requires improvement’, as the practice was not meeting the legislation around patient consent and the Mental Capacity Act 2005. The practice was issued a requirement notice under Regulation 11, Need for Consent.

Although staff had received training in relation to consent, not all clinical staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.

We also identified other areas where the practice should make improvements which included:

Improving the use of two cycle clinical audit to drive improvements in patient outcomes.
Conducting a risk assessment for the safe storage of the liquid nitrogen cylinder.
Advertising translation services in the patient waiting areas.
Taking measures to improve patient satisfaction with nurse consultations.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 11 Need for Consent of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The additional improvements are reflected in the well-led detail of the report.

The area where the practice should continue to make improvements is:

Developing the use of comprehensive clinical audit as part of ongoing quality improvement work within the practice.

http://www.cqc.org.uk/search/services/doctors-gps

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Latest inspection summary

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Background to this inspection

Overall inspection

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP)

People with long term conditions

Families, children and young people

Older people

Working age people (including those recently retired and students)

People experiencing poor mental health (including people with dementia)

People whose circumstances may make them vulnerable