Background to this inspection
Updated
14 November 2017
Enfield Island Surgery is an established purpose built GP practice situated within the London Borough of Enfield which opened in 2000. The practice is part of the NHS Enfield Clinical Commissioning Group (CCG) and has been accredited as a GP training practice.
The practice provides general primary medical services to approximately 4000 patients living within its catchment area. The practice is located at Island Centre Way, Enfield with relatively good transport links by bus and rail services.
The building has step free access and provides wheelchair access to the entrance of the building, reception and waiting area together with access to an accessible toilet. For people with a hearing impairment there is a signing service available but no induction loop. There is a range of parking available on site including disabled parking, parent and child parking and cycle racks.
The practice population is ethnically diverse and is identified as an area of deprivation (2nd most deprived decile). People living in more deprived areas tend to have a greater need for health services.
There is a significantly lower than average number of older patients in the age bands 65-85+ compared to the national average; however, there is a significantly higher than average number of patients under 18 years. The majority of patients are aged 0-44 with approximately 25% aged 45-90 years old. Additionally the percentage of patients with a long standing health condition is significantly less than both the CCG and national average.
The practice is registered with the Care Quality commission to provide the regulated activities of diagnostic and screening procedures, surgical procedures, treatment of disease disorder or injury and family planning. The practice holds a Personal Medical Service (PMS) contract with NHS England.
The practice team comprises of one female and one GP partner, who collectively work a total of 16 clinical sessions per week, plus an additional session to cover the extended hours on a Tuesday. They are supported by one part time practice nurse who provides five sessions per week, one part time practice manager, one part time medical secretary and five part time reception staff.
The opening hours are 8am to 7pm Monday to Friday. Additionally there is an extended Tuesday evening surgery until 8pm which is for routine booked appointments. The surgery advises on its website that it may close, for training purposes, once a month on a Tuesday or Wednesday afternoon from 12.30pm.
Consultation times in the morning are conducted by two GPs, one from 9.30am to 12.30pm and the other from 10.30am to 1.30pm Monday to Friday. Afternoon consultations are with two GPs from 3.30pm to 5.30pm. a later evening consultation is available on a Tuesday from 7pm to 8pm.
Enfield Island surgery’s out of hours services are accessed by calling the practice when it is closed and being automatically transferred to the locally agreed out of hours provider. This service is communicated in a recorded message on the practice telephone system, on the practice website and on the practice notice board.
The practice provides a full range of general medical services including chronic disease management, minor surgery, nurse/GP triage and NHS health checks. The practice also provides health promotion services including, cervical screening, childhood immunisations, antenatal clinic, contraception, family planning and men’s health.
The practice was previously inspected on 20 July 2016 and rated good overall, however the practice was rated as requires improvement for providing a safe service because not all staff had received a Disclosure and Barring Service (DBS) and the practice had a defibrillator but no system in place to ensure that it was checked on a regular basis to see if it was working. The practice was in breach of Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment.
Updated
14 November 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Enfield Island Surgery on 20 July 2016. The overall rating for the practice was good, however the practice was rated as requires improvement for providing a safe service. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Enfield Island Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 26 September 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 20 July 2016. 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 a defibrillator in place. We saw evidence of a maintenance log to ensure that it was working and fit for purpose. All staff had received training and the use of the defibrillator had been included in the updated practice policy and procedure for dealing with emergencies.
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All staff had received a current Disclosure and Barring Service (DBS) check.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
14 November 2017
The practice is rated as good for the care of people with long-term conditions.
This rating was given following the comprehensive inspection in July 2016. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Enfield Island Surgery on our website at www.cqc.org.uk.
Families, children and young people
Updated
14 November 2017
The practice is rated as good for the care of families, children and young people.
This rating was given following the comprehensive inspection in July 2016. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Enfield Island Surgery on our website at www.cqc.org.uk.
Updated
14 November 2017
The practice is rated as good for the care of older people.
This rating was given following the comprehensive inspection in July 2016. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Enfield Island Surgery on our website at www.cqc.org.uk.
Working age people (including those recently retired and students)
Updated
14 November 2017
The practice is rated as good for the care of working age people(including those recently retired and students).
This rating was given following the comprehensive inspection in July 2016. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Enfield Island Surgery on our website at www.cqc.org.uk.
People experiencing poor mental health (including people with dementia)
Updated
14 November 2017
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).
This rating was given following the comprehensive inspection in July 2016. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Enfield Island Surgery on our website at www.cqc.org.uk.
People whose circumstances may make them vulnerable
Updated
14 November 2017
The practice is rated as good for the care of people whose circumstances may make them vulnerable.
This rating was given following the comprehensive inspection in July 2016.
The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Enfield Island Surgery on our website at www.cqc.org.uk.