Green Man Medical Centre

Background to this inspection

Updated 31 August 2017

The Green Man Medical Centre is located in a purpose built building which used to be a mental hospital within a residential area of East London with good transport links. The practice is a part of Waltham Forest Clinical Commissioning Group.

There are approximately 5300 patients registered with the practice, the practice has approximately 12% more than the national average number of patients aged 25 to 44.

The practice has one male and one female GP partner completing 16 sessions per week, one female practice nurse completing six sessions per week, a practice manager and eight reception/administration staff members.

The practice operates under a General Medical Services Contract (GMS) (a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract).

The practice is open Monday to Friday between 8:00am and 6:30pm; the phone lines are open from 8:30am. Appointment times are as follows:

Monday 8:10am to 12:10pm and 4:00pm to 6:00pm
Tuesday 8:10am to 1:00pm and 4:00om to 6:00pm
Wednesday 8:10am to 1:00pm and 4:00pm to 6:00pm
Thursday 8:10am to 1:00pm Closed
Friday 8:10am to 1:00pm and 4:00pm to 6:00pm

The out of hours provider covers calls made to the practice whilst it is closed.

The Green Man Medical Centre operates regulated activities from one location and is registered with the Care Quality Commission to provide treatment of disease, disorder or injury, surgical procedures, diagnostic and screening procedures, family planning and maternity and midwifery services.

Overall inspection

Good

Updated 31 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Green Man Medical Centre on 17 November 2016. The overall rating for the practice was requires improvement. The full comprehensive report published in January 2017 can be found by selecting the ‘all reports’ link for Green Man Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 20 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 17 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
The practice had clearly defined and embedded systems to minimise risks to patient safety, including a fire risk assessment and regular alarm testing and fire drill as well as an infection control audit and a legionella assessment.
All staff members had completed training relevant to their role including safeguarding and chaperone training and there was a system in place for ensuring staff members remained up to date.
All staff members had received the appropriate checks through the disclosure and barring service (DBS).
The practice had identified 61 patients as carers (1% of registered patients).
Information about services and how to complain was available and the practice regularly held health promotion days. Improvements were made to the quality of care as a result of complaints and concerns.
The practice had established a patient participation group that met every three months.
There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice