Castleton Road Health Centre

Background to this inspection

Updated 8 September 2017

Castleton Road Health Centre (Dr M.A Quraishi & Partner) provides primary medical services in Ilford to approximately 4500 patients and is a member of NHS Redbridge Clinical Commissioning Group (CCG).

The practice population is in the fifth least deprived decile in England. It has higher than average levels of income deprived children and older people. Twenty-four percent of children are affected by income deprivation (CCG average 19%, national average 20%). 27% of older people are affected by income deprivation (CCG average 21%, national average 16%). The practice had surveyed the ethnicity of the practice population and had determined that 29% of patients described themselves as white, 52% Asian, 12% black and 7% as having mixed or other ethnicity.

The practice operates from a converted residential property with all patient facilities on the ground and first floors. The ground floor is wheelchair accessible. There are offices for administrative and management staff on the ground and first floors. All floors are accessed via stairs.

The practice operates under a General Medical Services (GMS) contract and provides a number of local and national enhanced services (enhanced services require an increased level of service provision above that which is normally required under the core GP contract). The enhanced services it provides are: childhood vaccination and immunisation scheme; extended hours access; facilitating timely diagnosis and support for people with dementia; improving patient online access; influenza and pneumococcal immunisations; learning disabilities; patient participation; risk profiling and case management; rotavirus and shingles immunisation; and unplanned admissions.

The practice team at the surgery is made up of one full-time female and one full- time male GP partners along with one salaried GP who works part-time. The doctors provide 17 clinical sessions per week. The nursing team consists of one part-time female practice nurse and a part-time healthcare assistant. There are eight administrative and clerical staff.

The practice opening hours for the surgery are:

Monday 9am to 1:30pm and 2:30pm to 6:30pm

Tuesday 9am to 1:30pm and 2:30pm to 6:30pm

Wednesday 9am to 1:30pm and 2:30pm to 6:30pm

Thursday 9am to 1pm

Friday 9am to 12:00pm and 2:30pm to 6:30pm

Saturday Closed

Sunday Closed

GP appointments are available:

Monday 9am to 1:30pm and 3pm to 6pm

Tuesday 10am to 12:40pm and 3pm to 6pm

Wednesday 10am to 12:40pm and 3pm to 6pm

Thursday 9am to 12:45pm

Friday 9am to 12:00pm and 3pm to 6pm

Nurse Appointments are available:

Monday 9:30am to 1:30pm and 2:30pm to 6:30pm

Tuesday 9:30am to 1:30pm and 2:30pm to 6:30pm

Extended surgery hours are available on every third Saturday between 8am and 1pm.

The practice does not open on a weekend. The practice has opted out of providing out of hours (OOH) services to their own patients when it is closed and directs patients to the OOH provider for NHS Redbridge CCG.

Castleton Road Health Centre (Dr M.A Quraishi & Partner) is registered as a partnership with the Care Quality Commission to provide the regulated activities of: maternity and midwifery services; treatment of disease, disorder or injury; diagnostic and screening procedures.

Overall inspection

Good

Updated 8 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Castleton Road Health Centre on 26 October 2016. We rated the practice as requires improvement overall and requires improvement for providing safe and caring services. Following this inspection we told the practice they must ensure systems to assess and mitigate against risks including risks associated with infection prevention and control and legionella were effective. We also told the practice that staff recruitment procedures must always include relevant pre-employment checks. We served requirement notices relating to the practice’s failure to comply with Regulation 12 (Safe care and treatment) and Regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The full comprehensive report on the October 2016 inspection can be found by selecting the ‘reports’ link for the Castleton Road Health Centre on our website at http://www.cqc.org.uk/location/ 1-565600548. After the inspection, the practice sent us a plan of the action it intended to take to improve the quality of care and meet the legal requirements under the key question, Safe.

This inspection was an announced focussed inspection carried out on 8 August 2017 looking at the issues previously identified and to check and confirm that the practice had carried out its plan to meet the legal requirements. We found that the practice had taken appropriate action to meet the requirements of the regulations relating to providing a safe and caring service.

Accordingly, we have revised the practice’s ratings in respect of providing a safe and caring service, which has led to a revision in the overall rating to Good.

Our key findings were as follows:

The practice had undertaken a risk assessment to monitor the safety of the premises including risks associated with infection prevention and control (IPC) and legionella (Legionella is a term for a particular bacterium which can contaminate water systems in buildings).
There was an IPC protocol and we saw that annual IPC audits were undertaken. We saw evidence that action was taken to address any improvements identified as a result.
There were emergency medicines available in the treatment room and these were easily accessible to staff and all staff knew of their location.
The practice had a defibrillator available on the premises and oxygen with adult and children’s masks. There was a process in place to ensure that emergency equipment was checked regularly so that is was ready for use when it was needed.
All staff, including GP’s, had completed customer care training and this had included skills coaching around questioning and active listening.
The practice had undertaken a follow-up patient survey and provided the option to respond to either of visual or text based responses which meant that patients who had difficulty reading English text could participate in the survey.
The practice participated in the monthly NHS Friends and Family Test (FFT) and were able to demonstrate consistently high percentages of patients saying they would recommend the practice to friends or family members.

However, there were areas of practice where the provider should make improvements. The provider should:

Continue to monitor patient satisfaction levels reflected in the national GP patient survey with a view to bringing about further improvements.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice