Background to this inspection
Updated
31 January 2018
Jubilee Surgery provides primary medical services in Whitton to 5689 patients
and is one of 31 practices in Richmond Clinical Commissioning Group (CCG). The practice is registered as a partnership.
The practice population is in the second least deprived decile in England. The proportion of children registered at the practice who live in income deprived households is 13%, which is higher than the CCG average of 9%, and for older people the practice value is 12%, which is higher than the CCG average of 11%. The age distribution of patients at the practice is broadly in line with the national average.
The practice operates from the first floor of a large purpose-built health centre, which also accommodates another GP practice and other health provision such as a physiotherapy service, district nurses and health visitors. A lift is available to take patients from street level to each floor in the building. A small amount of car parking is available at the practice, and there is space to park in the surrounding streets. The practice consists of a reception desk area and adjoining waiting area, administrative offices, four GP consultation rooms and two nurse consultation rooms.
The practice team at the surgery is made up of one part time and one full time female GPs who are partners, and one part time and one full time female salaried GPs. In total 27 GP sessions are available per week. The practice also employs two part time female nurses and a phlebotomist. The clinical team are supported by a practice manager, finance manager, two medical secretaries, a notes summariser and six reception/administrative staff.
The practice operates under a General Medical Services (GMS) contract, and is signed up to a number of local and national enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract).
The practice reception is open from 8:15am and 1pm and from 3pm to 6:30pm every weekday apart from Mondays when extended hours appointments are provided from 6:30pm to 8pm. When the practice is closed patients are directed to contact the local out of hours service. Patients at the practice can also book appointments to see a doctor between 8am and 8pm at the CCG’s seven day opening hub.
The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening services; maternity and midwifery services; treatment of disease, disorder or injury and family planning.
Updated
31 January 2018
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. The practice had been rated as Good during the previous inspection on 29 October 2014.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
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 – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Jubilee Surgery - Boohan on 27 November 2017 as part of our inspection programme.
At this inspection we found:
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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.
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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.
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Staff involved patients in decisions about their care and treated them with compassion, kindness, dignity and respect.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
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Keep a record of the action taken in response to medicines and safety alerts.
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Keep an up to date record of evidence of professional registration and medical indemnity information for all staff, including locums.
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Develop a system for all staff to receive a formal annual appraisal and assessment of development needs.
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Set up a system to review the newly introduced prescription sheet log to check it is maintained.
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Introduce a Patient Participation Group.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
31 January 2018
Families, children and young people
Updated
31 January 2018
Working age people (including those recently retired and students)
Updated
31 January 2018
People experiencing poor mental health (including people with dementia)
Updated
31 January 2018
People whose circumstances may make them vulnerable
Updated
31 January 2018