Background to this inspection
Updated
15 August 2017
Green Street Surgery is located in Enfield, North London. The practice has a patient list of approximately 2300. Fifty one percent of patients are aged under 18 (compared to the national practice average of 44% and 18% are 65 or older (compared to the national practice average of 20%). Forty one percent of patients have a long-standing health condition.
The services provided by the practice include child health care, ante and post-natal care, immunisations, sexual health and contraception advice and management of long term conditions.
The staff team comprises a male GP (working six sessions a week), a female long term locum GP (working four sessions a week), two female practice nurses (both working three days a week), a part time practice manager (working 0.75 whole time equivalent), secretarial and administrative staff. Green Street Surgery holds a Personal Medical Service (PMS) contract with NHS England.
The practice’s opening hours are:
Appointments are available at the following times:
In addition to pre-bookable appointments that could be booked up to four weeks in advance, urgent appointments are also available for people that needed them. When the practice was closed, patients were directed to the local out of hour’s provider.
The practice is registered to provide the following regulated activities which we inspected: treatment of disease, disorder or injury; diagnostic and screening procedures; and maternity and midwifery services.
Updated
15 August 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Green Street Surgery on 6 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Green Street Surgery on our website at www.cqc.org.uk.
This inspection was a desk based review carried out on 25 July 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 Day Month Year. 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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Clinical audits and re-audits were being carried out to improve patient outcomes.
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Multi-disciplinary team meetings were being undertaken.
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A business plan had been developed to underpin the vision for the practice.
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All policies and procedures had been reviewed and were up to date. Each policy had a lead member of staff assigned to be responsible for monitoring and future updates.
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The patient participation group had been reinstated and was meeting on a regular basis.
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An action plan had been developed to address the scores of the national patient survey.
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Cleaning schedules for clinical equipment was in place. The carpet had been cleaned in March 2017 but has subsequently been replaced with lino.
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A process had been put in place to identify and support carers.
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All portable electrical appliances had been tested.
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
15 August 2017
The provider had resolved the concerns for effective, caring and well led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Families, children and young people
Updated
15 August 2017
The provider had resolved the concerns for effective, caring and well led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Updated
15 August 2017
The provider had resolved the concerns for effective, caring and well led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Working age people (including those recently retired and students)
Updated
15 August 2017
The provider had resolved the concerns for effective, caring and well led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People experiencing poor mental health (including people with dementia)
Updated
15 August 2017
The provider had resolved the concerns for effective, caring and well led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People whose circumstances may make them vulnerable
Updated
15 August 2017
The provider had resolved the concerns for effective, caring and well led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.