Jenner Health Centre - Care Quality Commission

Background to this inspection

Updated 6 March 2017

Jenner Health Centre provides a range of primary medical services to approximately 7,800 registered patients and has a general medical services contract with NHS Cambridgeshire and Peterborough CCG. The practice is located in the centre of the small market town of Whittlesey,

in accommodation that was purpose built during the late 1960's. There is a small car park with parking for disabled badge holders. Additional parking is available nearby. The practice also has a dispensary service. According to information taken from Public Health England, the patient population has a lower than average number of patients aged 0 to 15 years and 25 to 44 years

compared to the practice average across England. The practice has a higher than average population of patients aged 50 years and over. According to the practice 23% of their registered patients are aged over 65 years. The practice supports approximately 160 patients who live across six local care or nursing homes. The practice is run by four male GP partners who employ one salaried GP. They employ a team of 25 staff. The nursing team comprises of three nurse practitioners, two practice nurses and two healthcare assistants. The dispensary has a lead and two additional dispensary team staff. A practice manager and assistant practice manager oversee a support team, reception team and administration staff. The practice is open from 8.30am to 6pm weekdays with extended hours available on Mondays, Tuesdays, Thursdays & Fridays until 8pm. The practice does not provide an out-of-hours service to its own patients but has alternative arrangements for patients to be seen when the practice is closed.

Overall inspection

Good

Updated 6 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Jenner Health Centre on 5 July 2016. The overall rating for the practice was good with requires improvement in the safe domain. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Jenner Health Centre on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 14 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 5 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice sent in an action plan informing us about what they would do to meet legal requirements in relation to the following;

The provider did not have robust systems in place to ensure that patients receiving long term thyroxine medication all received blood monitoring tests to manage their condition effectively.

During the initial inspection we also found areas where improvements should be made:

Develop a standard operating procedure for the safe destruction of controlled drugs and for the management of repeat prescription requests. Ensure that staff are familiar with, and follow these policies.
Strengthen systems for monitoring incoming medical letters and patient safety alerts.
Consider completing a risk assessment of the medicines carried by the GPs during home visits so that patient need and the safe management of medicines is considered.
Improve the uptake of new patient health checks.
Continue to prioritise work around the feedback received from patients in the national GP patient survey.

The practice told us these issues were addressed and have provided us with evidence to show they had taken the action to address the concerns.

Overall the practice is rated as good.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice