Background to this inspection
Updated
12 January 2018
Cricklewood GP Health Centre provides primary medical services in Cricklewood, North West London to approximately 3600 registered patients and unregistered patients (approximately 27,000 a year). The practice is one of 62 practices within the Barnet Clinical Commissioning Group (CCG). The practice is registered with the Care Quality Commission to provide the regulated activity of treatment of disease, disorder and injury.
The clinical team comprises of one full time GP Director and one full time salaried GP (both male), three long term locum GP’s(female) and one locum nurse practitioner (female).The non-clinical practice team consists of a practice manager and five administrative staff. The practice is supported by the corporate functions of the provider’s head office, including finance and human resources. The practice provides a total of 16.5 sessions per week for registered patients and 17.5 GP sessions for unregistered patients (walk ins). In addition, the practice offered nurse practitioner appointments to both registered and unregistered patients.
The practice operates under an Alternative Provider Medical Services (APMS) contract, and is signed up to a number of local and national enhanced services (enhanced services require an enhanced level of service provision above what is normally covered under the core contract).
The provider runs two services from this location; a GP practice for registered patients and a walk in centre for patients with a minor injury or a medical condition that is non-life threatening. The practice reception telephone lines are open from 8.00am to 8.00pm seven days a week; the practice has a 24 hour appointment phone line. Appointments for registered patients are available from 8.00am to 6.15pm Monday to Friday and appointments for unregistered (walk in) patients are available from 8.00am to 8.00pm seven days a week including bank holidays.
The practice has opted out of providing out of hours services to their own patients between 6.30pm and 8.00am and directs patients to the out of hours provider for Barnet CCG.
The practice population is in the fourth most deprived decile in England .The practice population for children and working age people is higher than the CCG and national averages; for older people it is lower than the CCG and national averages. Of patients registered with the practice for whom ethnicity data was recorded, 42% are White other, 9% are Asian other and 7% are British or mixed British.
Updated
12 January 2018
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Cricklewood GP Health Centre on the 17 January 2017. The overall rating for the practice was Good. The rating for the effective domain was requires improvement. The full comprehensive report on the 17 January 2017 inspection can be found by selecting the ‘all reports’ link for Cricklewood GP Health Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 8 November 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 17 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as Good.
Our key findings were as follows:
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The practice had ensured that all staff had received basic life support, child protection, infection control, fire safety, mental capacity act and information governance training relevant to their role.
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The practice had now ensured that all staff had received an annual appraisal to enable them to carry out the duties that they are employed to perform.
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Since May 2017, patients have had online access to book appointments and order prescriptions.
At our previous inspection on 17 January 2017, we rated the practice as requires improvement for providing effective services as the practice had not ensured that all staff were appropriately trained and appraised in order to carry out the responsibilities of their role. At this inspection we found arrangements for both training and appraising staff were robust and effective, therefore ensuring that staff had the skills, knowledge and experience to deliver effective care and treatment. Consequently, the practice is rated as good for providing effective services.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
12 January 2018
The practice is rated as good for the care of people with long term conditions. As the practice was found to be providing good services overall, this did not affect the rating for the population groups we inspect against.
Families, children and young people
Updated
12 January 2018
The practice is rated as good for the care of families, children and young people. As the practice was found to be providing good services overall, this did not affect the rating for the population groups we inspect against.
Updated
12 January 2018
The practice is rated as good for the care of older people. As the practice was found to be providing good services overall, this did not affect the rating for the population groups we inspect against.
Working age people (including those recently retired and students)
Updated
12 January 2018
The practice is rated as good for the care of working age people. As the practice was found to be providing good services overall, this did not affect the rating for the population groups we inspect against.
People experiencing poor mental health (including people with dementia)
Updated
12 January 2018
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). As the practice was found to be providing good services overall, this did not affect the rating for the population groups we inspect against.
People whose circumstances may make them vulnerable
Updated
12 January 2018
The practice is rated as good for the care of people whose circumstances may make them vulnerable. As the practice was found to be providing good services overall, this did not affect the rating for the population groups we inspect against.