Background to this inspection
Updated
24 April 2018
East Leicester Medical Practice is a GP practice which provides a range of primary medical services to around 12,300 patients from a surgery in the city of Leicester under a General Medical Services contract. The practice’s services are commissioned by Leicester City Clinical Commissioning Group (CCG). The service is provided by two part-time GP partners, one full- time and six part-time salaried GPs, one part-time advanced nurse practitioner, four part-time practice nurses, four health care assistants, a phlebotomist and two pharmacists. They are supported by a management team consisting of a practice manager, a deputy practice manager, a business manager and a team of reception and administration staff. Local community health teams support the GPs in provision of maternity and health visitor services. The GP’s provide a total of 44 sessions per week. The practice is a training practice and at the time of our inspection there were two trainee GP’s at the practice. There were both male and female GPs available.
The practice has one location registered with the Care Quality Commission (CQC) which we inspected at Uppingham Road Health Centre, 131 Uppingham Road, Leicester, LE5 4BP.
The surgery is in a two storey building with a car park. Car parking spaces are designated for use by people with a disability near the surgery entrance.
We reviewed information from the CCG and Public Health England which showed that the practice population had similar deprivation levels compared to other practices within the CCG and higher than the average compared to other practices in England.
When the practice is closed the out-of-hours service is provided to Leicester City, Leicestershire and Rutland by Derbyshire Health United which is accessed via the 111 service.
The practice is open between 7.30am and 8.00pm on Monday and from 7.30am to 6.30pm from Tuesday to Friday. The earliest appointment varies is from 7.30am throughout the week and the latest appointment varies from 5.50pm to 7.50pm. Extended hours appointments are offered from 7.30am every morning and on Monday evenings until 8.00pm.
Updated
24 April 2018
We carried out an announced comprehensive inspection at East Leicester Medical Practice on 14 July 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the July 2017 inspection can be found by selecting the ‘all reports’ link to East Leicester Medical Practice - Dr A Farooqi and Partners on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 28 March 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 14 July 2017 This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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Overall the practice is now rated as good.
Our key findings were as follows:
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The practice had implemented a new telephone system in order to improve telephone access and monitored its effectiveness on an ongoing basis. They had also reviewed the appointment system and were considering different options to improve access to appointments.
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A new system for reporting and recording significant events had been introduced and staff had received training about significant events. The new system included reviewing significant events to ensure identified actions had been taken and learning embedded.
- Improvements were made to the quality of care as a result of significant events and complaints and themes and trends were identified and acted upon.
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The system for receiving and acting on patient safety alerts had been reviewed and was now consistent and ensured that all alerts were acted on where required and discussed as appropriate.
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The system for high risk drug prescribing had been improved and was being operated effectively.
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There was an effective system for prescription security including monitoring of blank prescriptions.
- The practice had systems to minimise risks to patient safety and evidence from the landlord was available that actions identified in some risk assessments had been carried out.
- Staff were up to date with training and the practice had implemented a training matrix to monitor training needs. All staff had received an appraisal and a system introduced to ensure these were undertaken regularly.
- A comprehensive understanding of the performance of the practice was supported by use of a dashboard to monitor their performance in key areas such as appointment availability, reception and administration tasks and enhanced services.
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There was a comprehensive system to monitor the vaccine refrigerator temperatures.
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The practice had worked to increase the number of carers identified and there were now 178 patients on the carers registered which represented 1.5% of the practice population.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
Families, children and young people
Updated
24 April 2018
Working age people (including those recently retired and students)
Updated
24 April 2018
People experiencing poor mental health (including people with dementia)
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24 April 2018
People whose circumstances may make them vulnerable
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24 April 2018