Chestnut Practice

Updated 25 May 2018

Chestnut Practice is an NHS GP practice located in Hounslow, Middlesex. The practice is part of NHS Hounslow Clinical Commissioning Group (CCG) and provides primary medical services to approximately 9,050 patients.

Services are provided from:

• Heart of Hounslow Centre for Health, 92 Bath Road, Hounslow, Middlesex, TW3 3EL

Online services can be accessed from the practice website:

• www.chestnutpractice.nhs.uk

The practice is led by four GP partners (one male and three female) providing 24 clinical sessions collectively. The partners are supported by a practice nurse (37 hours); a locum nurse (20 hours); a health care assistant (25 hours); a business manager (37.5 hours); a reception manager (25 hours) and five receptionists / administrators.

The practice has a lower percentage of patients over 65 years of age when compared to the national average. The practice population is ethnically diverse with 56% Asian, 31% white, 6% black, 3% mixed race and 4% from other ethnic groups. The practice area is rated in the fifth deprivation decile (one is most deprived, ten is least deprived) of the Index of Multiple Deprivation (IMD). People living in more deprived areas tend to have greater need for health services.

The practice is registered with the Care Quality Commission to provide the regulated activities of: diagnostic and screening procedures; maternity and midwifery services; family planning; surgical procedures; and treatment of disease disorder and Injury.

Updated 25 May 2018

This practice is rated as Good overall. (Previous inspection 08/2017 – Good)

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

We carried out an announced comprehensive inspection at Chestnut Practice on 15 August 2017. The overall rating for the practice was good. The practice was rated requires improvement for providing safe services. The full comprehensive report on the August 2017 inspection can be found by selecting the ‘all reports’ link for Chestnut Practice on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 10 April 2018 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 15 August 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We found the practice had made improvements since our last inspection. Overall the practice remains rated as good.

At this inspection we found:

• The practice had addressed all concerns that were identified at our previous inspection.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When significant events or incidents did happen, the practice learned from them and improved their processes.
• The practice had implemented a system to ensure safety alerts were disseminated and acted on.
• The practice had developed a protocol to ensure the monitoring of patients taking lithium was in line with current national guidelines.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and the majority of patients reported that they were able to access care when they needed it.
• There was a focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Ensure all staff adopt a documented approach to managing test results.
• Ensure all staff are aware of ‘red flag’ sepsis symptoms that might be reported by patients and know how to respond.
• Continue to review ways to improve patient satisfaction with the availability and punctuality of appointments.
• Ensure all staff are aware of their roles and responsibilities.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018