Grafton Medical Partners - Care Quality Commission

Background to this inspection

Updated 30 March 2017

Grafton Medical Partners provides primary medical services in Tooting Bec, Wandsworth to approximately 7900 patients and is one of 43 practices in Wandsworth Clinical Commissioning Group (CCG). The practice, known as Macmillan Way Surgery, is one of three practices run by

Grafton Medical Partners within Wandsworth CCG.

The practice population is in the fifth least deprived decile in England. The practice population has a higher than average representation of income deprived children and older people. The practice population of children is in line with local and national averages, the practice population of those of working age is above local and national averages at 74%, and the number of older people registered at the practice is lower than local and national averages; 7% of patients are over the age of 65. Of patients residing in Wandsworth borough, 54% are White or White British, 24% are Asian or Asian British and 14.5% are Black or Black British. The Tooting Bec population is mixed with a small proportion of social housing surrounded by less deprived residential areas.

The practice operates from purpose built premises. The practice is based on the ground floor with disabled access to patient areas. The practice has access to five doctors’ consultation rooms and two nurses’ consultation rooms.

The practice team at the surgery is made up of one part time male GP who is a partner, one part time female GP who is a partner, one part time female salaried GP and one part time female locum GP. The total number of GP sessions per week is 26. The nursing team consists of a full time female practice nurse, one part time female health care assistant and two part time phlebotomists. The total number of practice nurse sessions per week is nine. The administrative team includes a part-time practice manager, a part time secretary and five reception and administrative staff members. The practice team supporting all the Grafton Medical Partners practice sites also includes an IT support worker, a performance manager, an assistant practice manger, a practice administrator, a chief operating officer and a pharmacist.

Patients are able to access a range of services offered across the three Grafton medical Partners sites in Wandsworth CCG. The practice operates under a Personal Medical Services (PMS) contract, and is signed up to a number of local and national enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract). The practice is a training practice for trainee GPs and provides teaching for medical students.

The practice reception and telephone lines are open from 8am to 8pm Monday to Thursday, 8am to 6.30pm on Friday and 9am to 1pm on Saturday. Scheduled appointments are available between 8.30am and 11.30am every morning and 3pm and 6pm every afternoon. Extended hours surgeries are offered from 6.30pm to 8pm Monday to Thursday and 9am to 1pm on Saturday. The practice has opted out of providing out-of-hours (OOH) services to their own patients between 6.30pm and 8am and at weekends and directs patients to the out-of-hours provider for Wandsworth CCG

Overall inspection

Good

Updated 30 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Grafton Medical Partners on 4 May 2016. The overall rating for the practice was requires improvement. The full comprehensive report can be found by selecting the ‘all reports’ link for Grafton Medical Partners on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 5 January 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 4 May 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:

Adequate recruitment checks were undertaken prior to employment.
The practice had a clear system in place for reporting and recording significant events.
There was a clear system in place to identify action taken place as a result of safety alerts.
There was a clear system in place to adequately monitor and manage assessed risks including those relating to health and safety, control of substances hazardous to health and Legionella.
All staff had completed role appropriate training to be able to respond to emergencies, including annual basic life support training and fire safety training.
There was an effective system in place for monitoring the receipt of all urgent referrals made by the practice.
Refined practice systems were in place to identify carers.
Multidisciplinary and clinical meetings were now documented.
The complaints system had been reviewed to ensure it was clear for patients and staff, and in line with contractual obligations.
The staffing structure, including roles and responsibilities were defined.
Medicines management procedures were now effective, and vaccine refrigerator temperatures were recoded everyday that the practice was open.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice