Streets Corner Surgery Also known as Drs Kundu, Kundu, Pal and Dubb

Updated 24 August 2017

Streets Corner Surgery is located in Walsall, West Midlands situated in a purpose built building owned by the GP partners, providing NHS services to the local community. Streets Corner Surgery is part of a practice group which consists of a main surgery at Lichfield Road and a branch surgery, Stonnall Surgery located at Main Street, Stonnall.

Based on data available from Public Health England, the levels of deprivation in the area served by Streets Corner Surgery are above the national average, ranked at six out of 10, with 10 being the least deprived. Deprivation covers a broad range of issues and refers to unmet needs caused by a lack of resources of all kinds, not just financial. The practice serves a higher than average patient population aged 65 plus, and below average for ages zero to 18 and 85 plus. Based on data available from public health the ethnicity estimate is 2% mixed, 2% Asian and 1% other non-white ethnic groups.

The patient list is 5,553 of various ages registered and cared for at the practice. Services to patients are provided under a General Medical Services (GMS) contract with the Clinical Commissioning Group (CCG). GMS is a contract between general practices and the CCG for delivering primary care services to local communities.

The surgery has expanded its contracted obligations to provide enhanced services to patients. An enhanced service is above the contractual requirement of the practice and is commissioned to improve the range of services available to patients.

Limited on-site parking is available with designated spaces for cyclists and patients who display a disabled blue badge. The surgery has automatic entrance doors and is accessible to patients using a wheelchair.

The practice staffing comprises of two GP partners, one female and one male, one specialist nurse prescriber, one practice nurse, one health care assistant, one prescription manager, one practice manager and a team of administrative staff.

The practice is open between 8.15am and 6.30pm on Mondays, Tuesdays and Fridays. Wednesday opening times are from 7.30am to 6.30pm, Thursdays the practice is open between 7.30am and 1pm. Reception and surgery hours are served by Stonnall surgery on Mondays from 6.30pm to 7.10pm, Wednesdays and Fridays from 6.30pm to 7pm.

GP consulting hours are from 9am to 12 noon and 4pm to 6pm on Mondays, Tuesdays Wednesdays and Fridays. Consulting hours on Thursdays are from 9am to 1pm. Regular locum GP sessions are available on Mondays from 11pm to 2pm and Wednesdays from 2pm to 5pm. Extended access to health care assistant appointments are available on Wednesdays and Thursdays from 7.30am. The practice has opted out of providing cover to patients in their out of hours period. During this time services are provided by Primecare through the NHS 111 service. Between the hours of 8am and 8.15 and 1pm to 6.30pm on Thursdays services are provided by WALDOC (Walsall doctors on call).

The practice operated a dispensary at Stonnall surgery. The dispensary is open between 9am to 11.30am and 5pm to 7pm on Mondays, Tuesdays Wednesdays and Fridays. Thursday’s opening times are between 9am and 11.30am.

Updated 24 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Streets Corner Surgery on 31 October 2016. There are two surgery sites that form the practice; these consist of the main surgery at Lichfield Road and the branch surgery, Stonnall Surgery located at Main Street, Stonnall where the practice operates a dispensary. Systems and processes are shared across both sites. During the inspection we visited the main site at Lichfield Road and the branch, Stonnall Surgery. The overall rating for the practice was good. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Streets Corner Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 25 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 31 October 2016. During the inspection we only visited the main site at Lichfield Road. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice continues to be rated as good.

Our key findings were as follows:

• Arrangements to respond to emergencies and major incidents had been reviewed since our last inspection and additional arrangements were in place. The practice carried out risk assessments to mitigate any identified risks.

• Staff we spoke with explained that the failsafe system for managing cervical samples sent and received had been reviewed. We saw evidence of an effective system being operated. Unverified data provided by the practice showed an increase in the uptake of cervical screening and a significant reduction in exception reporting.

• The practice operated an effective system for monitoring and ensuring staff received appropriate training and continual professional development to enable them to fulfil the requirements’ of their role. We saw documentation which evidenced the completion of training.

• A system to monitor and review staff competencies’ during and after induction had been established. We saw that policies and procedures governed the induction process.

• Since our previous inspection, the practice continued exploring and establishing effective methods to identify carers in order to provide further support where needed. Data provided by the practice showed an increase in identified carers. Staff explained that 83 carers were invited to attend a six week programme run by a local organisation that provides self care management programmes called looking after me for carers. Data provided by the practice showed that 11% contacted the practice and showed an interest and 8% completed the six week programme.

• Evidence of joint working regarding the management patients in receipt of interventions for substance and alcohol dependency had improved since our previous inspection. We saw records of comprehensive joint care plans and completed health care reviews.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 31 January 2017

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was similar to the national average. For example, 87% had a specific blood glucose reading within acceptable range in the preceding 12 months (01/04/2014 to 31/03/2015) compared to the CCG and national average of 78%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

• A diabetic nurse held a fortnightly clinic at the practice.

• The practice referred patients diagnosed with and diabetes to a six-week expert patient programme aimed at empowering patients to care for themselves.

• The practice offered a range of services in-house to support the diagnosis and monitoring of patients with long term conditions including spirometry, phlebotomy and followed recognised asthma pathways.

Updated 24 August 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 25 July 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 31 January 2017

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population. All patients had a named GP.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The practice held an avoiding unplanned admissions register and had personalised care plans in place for this patient group. Staff explained that these were discussed at multi-disciplinary meetings when patients attend for an appointment, following a hospital discharge or when requesting a home visit.

• The practice worked collaboratively with community matrons, district nurses and the rapid response team when looking after this population group.

• The practice provided health promotion advice and literature which signposted patients to local community groups and charities such as Age UK. Data provided by the practice showed that 100% of patients aged over 75 received a health check in the last three years.

• The practice was accessible to those with mobility difficulties.

Updated 31 January 2017

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

• For accessibility, telephone consultation appointments were available with a GP and extended hours were clinic hours were available three days per week.

• The practice offered travel vaccinations available on the NHS and staff signposted patients to other services for vaccinations only available privately such as yellow (a vaccination for a tropical virus disease transmitted by mosquitoes, which affects the liver and kidneys).

• The practice provided new patient health checks and routine NHS health checks for patients aged 40-74 years.

• There was a sexual health lead, clinicians offered sexual health advice, and the practice provides long acting contraceptive services for registered patients.

• Data from the July 2016 national GP patient survey indicated that the practice were above local and national average regarding patient’s satisfaction with how they could access care and treatment.

Updated 31 January 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• 90% of patients diagnosed with dementia had their care reviewed in a face-to-face meeting in the year 2014/15, which was above the local and national average. Data from 2015/16 showed that the practice continued to perform above local and national averages.
• Nationally reported data for 2014/15 showed 100% of patients on the practice mental health related indicators had a comprehensive, agreed care plan documented in the preceding 12 months. This was above the CCG and national average, with a 0% exception reporting rate. Data from 2015/16 showed that the practice continued to perform above local and national averages. 

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia. A community psychiatric nurse (CPN) attended the clinic weekly.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff we spoke with had a good understanding of how to support patients with mental health needs and dementia and there were a designated lead responsible for this population group.

Updated 31 January 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability (LD).

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations. For example, they provided a shared care service in partnership with the local addiction service for patients with opiate dependency allowing them to obtain their prescriptions at the surgery.

• Staff we spoke with knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.

• Carers of patients registered with the practice had access to a range of services, for example annual health checks, flu vaccinations and a review of their stress levels. Data provided by the practice showed that 1.5% of the practice list were carers.

• The practice had an awareness of the changing demographics of the practice population group. For example, staff explained that the practice recently registered a number of asylum seekers who had moved to housing within the practice boundaries. Although the practice had not done anything specifically targeted towards this group staff we spoke with told us that the practice acknowledge the circumstances which may make this group vulnerable and therefore had a staff meeting to ensure all staff were aware of the possible barriers to receiving care.