Chalfont Surgery

Updated 12 March 2018

Chalfont Surgery is a surgery located in the London Borough of Enfield. It was previously located in Chalfont Road but had recently moved to a new premises in the Evergreen Health Centre, Edmonton. The practice is part of the NHS Enfield Clinical Commissioning Group (CCG). The practice was taken over by Enfield Healthcare Alliance in August 2016 and it currently holds an APMS contract and provides NHS services to 4800 patients.

The practice serves a diverse population with many patients attending where English is not their first language. Only 5% of the practice population was over the age of 70 and 46% are under the age of 30. The practice had 19% of patients with a long term condition. The practice is situated on the first floor of a purpose built health centre with lift access for patients that are in need of this. There is currently one permanent male GP and a regular female locum offering a total of 18 sessions per week.More GP appointments are available from the co-located seven day GP Access Service. The practice also employs a female practice nurse, administrative staff and a practice manager.

The practice was open between 8.30am and 6pm Monday to Friday. Appointments are available throughout the time the practice was open. Extended hours appointments were offered every Saturday between 9am and 1pm. In addition to pre-bookable appointments that could be booked up to six weeks in advance, urgent appointments were also available for patients that needed them. Out of hours provision is provided by a local out of hours service.

The service is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, family planning and the treatment of disease, disorder or injury.

Updated 12 March 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection which took place at the former Chalfont Road surgery in September 2017 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Chalfont Surgery on 18 January 2018. This was part of our inspection programme. The practice was previously called Chalfont Road Surgery and had recently relocated to the Evergreen Health Centre and changed name to Chalfont Surgery. Chalfont Road Surgery was previously rated good.

At this inspection we found:

• There had been a successful transition from Chalfont Road to the Evergreen Health Centre with patients providing positive comments around the move.
• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• The practice had clearly defined and embedded systems to minimise risks to patient safety.
• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• The results of the national GP patient survey showed that patients were satisfied with the practice. However some results were below the national average and the practice had produced an action plan to address these.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvements are:

• To review the national patient survey results and to monitor and implement improvement activities.

• To review current practice systems for the cervical screening programme with a view to improving the current uptake.

• Review how patients with caring responsibilities are identified and recorded on the patient record system to ensure information, advice and support is made available to all.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice