Dr Jabbar & Partners Also known as Lee House Surgery

Updated 6 July 2016

The Dr Jabbar and Partners (also known locally as Lee House Surgery) is situated in Windsor. The practice is located in a converted premises with limited car parking for patients and staff. The premises is grade II listed building so the practice is limited in the structural changes of the building. All patient services are offered on the lower ground, ground and first floors. The practice comprises of three consulting rooms, three treatment rooms, two patient waiting areas, a reception area, administrative and management office.

The practice has core opening hours from 8am to 6.30pm Monday to Friday. The practice has offered range of scheduled appointments to patients every weekday from 8am to 5.30pm including open access appointments with a duty GP throughout the day. Extended hours appointments are available at the premises every Wednesday morning from 7am to 8am. In addition, the practice has offered extended hours appointments Monday to Friday from 6.30pm to 9pm, and every Saturday from 9am to 12pm and Sunday from 2pm to 7pm at Kings Edward Hospital and Saint Marks Hospital (funded by Prime Minister’s Access Fund).

The practice had a patient population of approximately 7,050 registered patients. The practice population of patients aged between 0 to 4, 10 to 24 and 55 to 64 years old are lower than national average and there are a higher number of patients aged between 30 to 54 years and aged above 75 years old compared to national average.

Ethnicity based on demographics collected in the 2011 census shows the patients population is predominantly White British and 11% of the population is composed of patients with an Asian, Black or mixed background. The practice is located in a part of Windsor with the lowest levels of income deprivation in the area.

There are two GP partners, three salaried GPs, two long term locum GPs and a trainee GP at the practice. Six GPs are male and two female. The practice employs four practice nurses and a health care assistant. The practice manager is supported by a team of administrative and reception staff. Services are provided via a General Medical Services (GMS) contract (GMS contracts are negotiated nationally between GP representatives and the NHS). This is a training practice, doctor who is training to be qualified as a GP has access to a senior GP throughout the day for support. GP Registrars are qualified doctors who undertake additional training to gain experience and higher qualifications in general practice and family medicine. We received positive feedback from the trainee GP we spoke with.

Services are provided from following location:

Lee House Surgery

84 Osborne Road

Windsor

SL4 3EW

The practice has opted out of providing out of hours services to their patients. There are arrangements in place for services to be provided when the surgery is closed and these are displayed at the practice, in the practice information leaflet and on the patient website. Out of hours services are provided during protected learning time by East Berkshire Primary Care service or after 6:30pm, weekends and bank holidays by calling NHS 111.

Updated 6 July 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Jabbar and Partners (also known locally as Lee House Surgery) on 15 June 2016. Overall the practice is rated as good.

Specifically, we found the practice good for providing safe, effective, caring, responsive and well led services.

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. The majority of information about safety was recorded, monitored and reviewed.
• Risks to patients were assessed and well managed.
• We found that completed clinical audits cycles were driving positive outcomes for patients.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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 were available and easy to understand.
• Results from the national GP patient survey showed that some patients said they were not able to always see or speak to their preferred GP when compared to the local and national averages. However, patients we spoke with on the day of inspection informed us they were able to make an appointment with a named GP when they needed them.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Anti-coagulation clinic (An anti-coagulant is a medicine that stops blood from clotting) was offered onsite, meaning 77 patients who required this service did not have to travel to local hospitals.
• 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 improvements are:

• Review and improve the system in place to promote the benefits of bowel screening in order to increase patient uptake.
• Review patients feedback regarding the availability of pre-bookable appointments with their preferred GP.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 6 July 2016

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

• There were clinical leads for chronic disease management and patients at risk of hospital admission were identified as a priority.
• Longer appointments and home visits were available when needed.
• All patients with long term conditions had a named GP and the practice was following the ‘house of care’ approach to carry out a structured annual review to check that 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.

Updated 6 July 2016

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

• 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 patients who had a high number of A&E attendances.
• Immunisation rates were high for all standard childhood immunisations.
• Patients told us that children and young patients were treated in an age-appropriate way and were recognised as individuals.
• The practice’s uptake for the cervical screening programme was 85%, which was higher than the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw good examples of joint working with midwives, health visitors and school nurses.
• The practice had organised a successful children painting competition to engage and familiarise children with the practice environment.

Updated 6 July 2016

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

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.
• It was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• The practice was one of the pioneers of elderly surveillance in the CCG area and had a dedicated nurse care coordinator for older patients.
• There was a register to effectively support patients requiring end of life care.
• There were good working relationships with external services such as district nurses.
• During winter months one of the trainee GPs had led a CCG initiated project which involved identifying vulnerable patients during winter period and drawing up shared management plans to maintain their independence.
• The premises was accessible to those with limited mobility.
• The premises was grade II listed building so the practice was limited in the structural changes they could make. However, the practice had added a ramp to the rear entrance and there was intercom to alert staff to help with the doors.

Updated 6 July 2016

The practice is rated as good for the care of working-age patients (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 was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
• Extended hours appointments were available every Wednesday morning from 7am to 8am. In addition, the practice offered extended hours appointments Monday to Friday from 6.30pm to 9pm, and every Saturday from 9am to 12pm and Sunday from 2pm to 7pm at Kings Edward Hospital and Saint Marks Hospital (funded by Prime Minister’s Access Fund).

Updated 6 July 2016

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

• Performance for dementia face to face review was comparable to the CCG and national average. The practice had achieved 82% of the total number of points available, compared to 83% locally and 84% nationally.

• 88% of patients experiencing poor mental health were involved in developing their care plan in last 12 months.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice had told patients experiencing poor mental health how to access various support groups and voluntary organisations.
• Systems were in place to follow up patients who had attended accident and emergency, when experiencing mental health difficulties.
• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 6 July 2016

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

• The practice held a register of patients living in vulnerable circumstances including homeless patients, travellers and those with a learning disability.
• It offered annual health checks for patients with learning disabilities. Health checks and care plans were completed for 16 patients out of 17 patients on the learning disability register.
• Longer appointments were offered to patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients.
• It had told vulnerable patients about how to access various support groups and voluntary organisations.
• 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.