The Bailey Practice

Updated 1 April 2019

The Bailey Practice is a family-run practice situated within Waltham Forest at 107 Shernhall Street, London E17 9HS, and is part of the Waltham Forest Clinical Commissioning Group (CCG). The practice provides services under a General Medical Services contract (a contract between NHS England and general practices for delivering general medical services and is the most common form of GP contract) to approximately 3841 patients in the Walthamstow area of East London.

This area is socio-economically diverse, but with areas of increased deprivation. There is a higher than the national average number of children aged between 0 and 4 years and a lower number of older people over the age of 75 years.

The practice is registered with the CQC to carry on the regulated activities of: diagnostic and screening procedures; family planning; maternity and midwifery services; and treatment of disease, disorder or injury.

Practice staff consist of two female GP partners (one working six clinical sessions per

week and one working five), a female advanced nurse practitioner (working eight clinical sessions per week), a female practice nurse (working two clinical sessions per week), a practice manager, a reception manager and two receptionists.

The practice reception is open Monday to Friday from 8am to 6.30pm and appointments are available at the following times:

• Mondays from 8.30am to 11am and from 3pm to 6.30pm;
• Tuesdays from 8am to 11am and from 12.30pm to 6.30pm;
• Wednesdays from 9am to 1.30pm and from 2pm to 6.30pm;
• Thursdays from 8.15am to 4.30pm;
• Fridays from 8.30am to 11am and from 12.30pm to 6.30pm.

The practice also provides extended hours appointments on Mondays from 7.30am to 8am and from 6.30pm to 7pm, and on Fridays from 7.30am to 8am.

Out of hours appointments are available to practice patients at other GP practice locations in Waltham Forest every weekday from 6.30pm to 9.30pm and on Saturday and Sunday from 8am to 8pm.

Updated 1 April 2019

We previously carried out an announced comprehensive inspection of Bailey Practice on 24 October 2018. At the inspection, we rated the practice as good overall, but as requires improvement for providing safe services because:

• The practice had not completed a risk assessment supporting the decision to allow a receptionist to work whilst their Disclosure and Barring Service (DBS) check was pending.
• There was no process to carry out regular fire alarms tests and the fire extinguishers had not been checked.
• There was no evidence that some medical equipment had been calibrated to ensure it was in good working order.
• The practice did not have an effective failsafe system to ensure that cytology test results were received and acted upon and was not auditing inadequate cervical screening rates.
• In relation to monitoring a particular high-risk medicine, some patient test results were not documented within patients’ notes before prescribing.
• The practice had a system for recording receipt and acknowledgement of safety alerts. However, there was no documentation of what action was taken by the practice.

The full report of the October 2018 comprehensive inspection can be found by selecting the ‘all reports’ link for The Bailey Practice on our website at www.cqc.org.uk.

We carried out an announced focused inspection of The Bailey Practice on 12 March 2019 to check whether the practice was providing safe care.

We based our judgement of the quality of care at this service is on a combination of:

• what we found when we inspected;
• information from our ongoing monitoring of data about services; and
• information from the provider, patients, the public and other organisations.

At this focused inspection on 12 March 2019, we found that the provider had made improvements.

We have rated this practice as good overall.

We rated the practice as good for providing safe services because:

• Enhanced DBS checks had been completed for all non-clinical staff.
• Fire alarm tests were carried out and documented on a monthly basis and the fire extinguishers had been checked.
• Medical equipment had been calibrated and the practice had created an inventory of all equipment to monitor calibration due dates.
• The practice’s cytology failsafe log was updated and monitored on an ongoing basis and the practice was auditing inadequate cervical screening rates.
• A specific prescribing protocol for warfarin had been created and we saw patients’ test results were documented within patients’ notes on the clinical system.
• There was an effective system for safety alerts with any action taken by the practice documented.

We also found the practice had acted upon a suggested area of improvement from the previous inspection, relating to the identification of carers:

• The practice had been proactive in identifying patients who are carers, by sending letters to patients with chronic conditions, creating a new carer’s information board in the waiting area, and asking patients during consultations if they were cared for or had caring responsibilities.
• The practice provided information to carers about local support services and groups.
• At our previous inspection the practice had 18 patients coded on the clinical system as being carers; at this inspection, the practice had identified 55 patients as carers (1.4% of the practice population).
• Carers were offered annual influenza vaccines and 34 of 55 patients (62%) had received an influenza vaccination in the current programme.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Updated 27 November 2018

Updated 27 November 2018

Updated 27 November 2018

Updated 27 November 2018

Updated 27 November 2018

Updated 27 November 2018