Archived: Ching Way Medical Centre

Updated 13 January 2017

Ching Way Medical Practice is located in Chingford, North London and is part of the Waltham Forest Clinical Commissioning Group. Ching Way Medical Practice is part of the Churchill Health Group. It is branch practice of Churchill Medical Centre and shares the patient list and staff Patients are able to make an appointment at either the Ching Way or Churchill Medical site. Churchill Medical Centre was registered separately with the Care Quality Commission and was therefore inspected separately. The Churchill Health Group has a patient list of approximately 14,200. Thirty nine percent of patients are aged under 18 (compared to the national practice average of 44%) and 21% are 65 or older (compared to the national practice average of 20%). Fifty five 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 Ching Way Medical Practice staff team comprises of five GP partners (two female and three male), working a total of 30 sessions per week, three female salaried GPs working a total of 12 sessions per week, a male GP registrar working nine sessions per week, two medical students working six sessions each, a full time female nurse practitioner, two part time female nurses, practice manager, assistant practice manager and administrative staff. Ching Way Medical Practice holds a Personal Medical Service (PMS) contract with NHS England.

The practice’s opening hours are:

• Monday –Friday 8:00am-6:30pm
• Thursday 6:30pm-8pm (extended hours)

Appointments were available at the following times:

• Monday to Friday 8:30am – 11:30am and 2:30pm – 5:30pm

Thursday (extended hours) 5:30pm to 8pm

Outside of these times patients are directed to the local out of hours provider.

In addition to pre-bookable appointments that could be booked up to four weeks in advance, urgent appointments were also available for people that needed them.

The practice is registered to provide the following regulated activities which we inspected: treatment of disease, disorder or injury; diagnostic and screening procedures, surgical procedures, family planning and maternity and midwifery services.

Ching Way Medical Centre had not been inspected previously.

Updated 13 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ching Way Medical Centre on 3 November 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients 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 and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

• To 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.

• Introduce a cleaning log to confirm that weekly cleaning of handheld clinical equipment is taking place.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 13 January 2017

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• The practice performance for diabetes related indicators was comparable to both the Clinical Commissioning Group (CCG) and the national average.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines 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.

• The practice provided a walking group for patients on the long term conditions registers.

• An in house spirometry, ECG (electrocardiogram, used to check heart rhythm and electrical activity) and INR testing service (used to help diagnose the cause of unexplained bleeding or inappropriate blood clots) was available.

• The practice regularly met with Macmillan nurses to discuss patients receiving on end of life care.

Updated 13 January 2017

The practice is rated as good for the care of families, children and young people.

• 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 had a high number of A&E attendances. Immunisation rates were relatively 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.

• The practice’s uptake for the cervical screening programme was 80%, which was comparable to the CCG and national average of 81%. Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 13 January 2017

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, for example offering emergency and routine home visits undertaken by the patient’s usual doctor.

• Urgent appointments were available for those with enhanced needs.

• The practice undertook ward rounds of three local nursing homes.

Updated 13 January 2017

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice provided extended hours appointments at both sites.

• A full range of online services were available which included booking routine appointments, ordering repeat prescriptions and viewing medical records.

• A full range of health promotion and screening that reflects the needs for this age group.

Updated 13 January 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

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  Mental health related indicators were comparable to both the Clinical Commissioning Group (CCG) and the national average.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 13 January 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• The practice provided a Turkish advocate who was able to engage with Turkish speaking patients at risk of social isolation.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.