Background to this inspection
Updated
6 August 2015
The practice is situated in a residential area of Basildon, with high representation of young people and children within their patient group. It is recognised nationally as a deprived area, with a transient population due to temporary housing.
The practice benefits from having parking facilities and ramp access. The practice has a small clinical team consisting of one male GP and two practice nurses and a small administrative team of reception staff led by a practice manger. The practice currently holds a General Medical Service contract.
The practice does not have a website for patients to obtain information on the services. The practice has opted out of providing out-of-hours services to their own patients. The services are provides by SEEDS which is the South East Essex Emergency Doctors Service.
People with long term conditions
Updated
6 August 2015
The provider was rated as good overall and this includes this population group.
There were emergency processes in place and referrals were made for patients whose health deteriorated suddenly. Longer appointments and home visits were available when needed. All these patients had a named GP and received regular reviews to check that their health and medication needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.
Families, children and young people
Updated
6 August 2015
The provider was rated as good overall and this includes this population group.
There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who were on the child protection register. Immunisation rates were high for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies.
Updated
6 August 2015
The provider was rated as good overall and this includes this population group.
Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population. It understood patients individual needs and was responsive to them, offering longer appointments and home visits, where necessary.
Working age people (including those recently retired and students)
Updated
6 August 2015
The provider was rated as good overall and this includes this population group.
Health checks and health screening were offered and any non-attendance followed up with correspondence and calls as appropriate. Although the practice offered extended opening hours for appointments from Monday to Friday, patients could not book appointments or order repeat prescriptions online. Health promotion advice was offered and accessible health promotion material available throughout the practice.
People experiencing poor mental health (including people with dementia)
Updated
6 August 2015
The provider was rated as good overall and this includes this population group.
Patients experiencing poor mental health were known to the practice and invited to regular health and medication reviews. The GP had clinical experience and expertise in the management of poor mental health. The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health.
People whose circumstances may make them vulnerable
Updated
6 August 2015
The provider was rated as good overall and this includes this population group.
The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks for patients with a learning disability and followed up with patients who did not attend, to try and secure their attendance. Longer appointments were offered to patients with a learning disability and those who required additional support.
The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients contributing to case conferences where requested. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, they knew how to document safeguarding concerns and how to escalate them to the GP who would contact relevant agencies.