Archived: The Fryent Way Surgery

Updated 6 September 2018

The Fryent Way Surgery is located at 22 Fryent Way in Kingsbury, London. The practice premises comprise of a semi-detached purpose-built three-storey house, with a front and side entrance. There is wheelchair access, ground floor reception and waiting room, five clinical rooms as well as toilet facilities. The first floor comprises of a waiting room and five clinical rooms with no lift access, while the third floor comprises of the staff kitchen, and administration offices. The practice website can be found at: thefryentwaysurgery.nhs.uk

The practice patient list is approximately 8,660 patients, which includes 50 patients in a local nursing home. The practice area is rated in the sixth most deprived decile of the national Index of Multiple Deprivation (IMD). People living in more deprived areas tend to have a greater need for health services. The practice has an ethnically diverse population and includes a higher than average proportion of young and working age population aged 16 and 75 and a lower proportion of patients aged over 75.

The practice is open between 8.45am and 6.30pm on Monday to Friday, except for a Wednesday, when the practice closes at 1pm. Appointments are offered between 9.00am and 6.00pm on Monday to Friday, except for Wednesday when the last appointment is offered at 12.40pm. The practice does not offer any extended hours. The GP's out of hours provider is Care UK. Outside of these hours, patients are redirected to NHS 111. 

The practice is a member of K&W healthcare, a GP led organisation made up of 28 GP practices across the Brent localities. The service aims to improve the care provided to patients in the Brent locality and they offer hub appointments during weekday evenings and weekends.

The practice is a single-handed GP practice run by a male GP. The practice is supported by five female and three male salaried GPs who provide a combination of 31 sessions a week. They are also supported by a clinical pharmacist who provides 20 hours a week, a practice nurse who provides 29 hours a week, a phlebotomist and a part-time healthcare assistant/administration staff. Also employed are a part-time practice manager, 11 reception and administration staff and a cleaner. The practice is a teaching practice supporting GP trainees. 

The practice operates under a General Medical Services (GMS) contract and is commissioned by the Brent CCG. The practice is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder or injury, surgical procedures; family planning and maternity and midwifery services.

Services provided include chronic disease management, 24-hour blood pressure monitoring, NHS health checks, child health surveillance, flu immunisations, screening, minor ailments, insulin initiation, joint injections, phlebotomy, ECG monitoring, spirometry and ear irrigation.

Updated 6 September 2018

This practice is rated as requires improvement overall. (Previous rating 7 January 2016 – Good)

The key questions are rated as:

Are services safe? – Requires Improvement

Are services effective? – Requires Improvement

Are services caring? – Good

Are services responsive? – Requires Improvement

Are services well-led? – Requires Improvement

We carried out an announced comprehensive inspection at The Fryent Way Surgery on 28 June 2018 as part of our inspection programme.

At this inspection we found:

• The practice had ineffective systems to manage risk. This included induction, emergency medicines, equipment, fire safety, infection control and significant events.
• Systems to keep people safe and safeguarded from abuse were in place. 
• Staff recruitment practices were not in line with legal requirements.
• Systems had not been implemented effectively to ensure that all health and safety risk assessments such as Legionella risk assessments were completed.
• Care and treatment was delivered according to evidence-based guidelines.
• Patients did not always find the appointment system easy to use and reported that they were not always able to access care when they needed it.
• The practice was actively addressing recent challenges and making positive changes.
• The practice achievement for childhood immunisations were above the 90% target and highlighted as positive outliers.
• Staff involved and treated patients with compassion, kindness, dignity and respect.

The areas where the provider must make improvements as they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way for patients.
• Establish effective systems to and processes to ensure good governance in accordance with the fundamental standards of care.
• Ensure staff employed receive such appropriate support, training, professional development, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.
• Ensure recruitment procedures are established and operated effectively.

The areas where the provider should make improvements are:

• Take action to highlight appointment and attendance details on the two-week referral log.
• Take action to ensure that all staff have read the newly updated safeguarding policies.
• Review and amend policies to ensure they contain up to date staff details.
• Consider incorporating the discussion of evidence based guidelines into educational meetings.
• Review and improve on clinical indicators where performance is not as expected.
• Introduce regular audits and share findings with all staff.
• Improve the sharing of information with all staff.
• Review and improve patient satisfaction with interactions with staff.
• Implement the Accessible Information Standard protocol.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 6 September 2018

Updated 6 September 2018

Updated 6 September 2018

Updated 6 September 2018

Updated 6 September 2018

Updated 6 September 2018