Dr Jasjeet Dua provides primary care services at Kensington Park Medical Centre in West London. The practice provides care to a diverse local community of approximately 6500 patients. Services provided include antenatal care, child health and immunisation, sexual health, chronic disease management and end-of-life care. The practice is registered with the Care Quality Commission to provide the following regulated activities: diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures; and, treatment of disease, disorder or injury.
We collected 23 comment cards that patients had completed in advance of the inspection visit and spoke with five patients attending the practice on the day of the inspection. All the patients who gave feedback were happy with the quality of care they received and many praised individual staff members.
The practice provided a safe service with systems in place to manage risks associated with infection control, medicines management, staff recruitment, child protection and adult safeguarding and medical emergencies. There were mechanisms to investigate and learn from incidents and complaints.
Patients’ needs were assessed and treatment and referral patterns were in line with current guidelines and best practice. Staff participated in collaborative clinical audits and external peer group meetings and used this evidence to improve. Staff were encouraged to develop their professional practice and skills and received an annual appraisal. The lead GP
Patients told us the practice was caring. Patients who participated in the inspection were happy with the service they received at the practice. They said they were involved in decisions about their treatment. We observed that reception staff were polite and respected patients’ privacy. The practice operated a chaperone service but had not yet trained staff acting as chaperones on this role.
The practice was responsive to the needs of its patients. The practice provided services tailored to particular patient groups and routinely booked interpreters for patients who did not speak English as a first language. The practice had explored different ways for patients to access the service and patients told us they did not usually have difficulties making an appointment when they needed one. The practice promoted health and the prevention of illness with written information in the waiting room, services such as smoking cessation advice and targeted advice for patients with particular health conditions.
The practice ethos was to put patients first and provide a high quality service. There were governance arrangements in place and an open reporting culture. Staff members told us they benefitted from excellent clinical and managerial leadership within the practice and said this had a positive impact on the quality of care. The practice obtained feedback from patients through surveys, informal feedback and complaints and used this to improve the service. However, the practice did not have a patient participation group.