Dr Jinmi & Partners Also known as Houghton Regis Medical Centre

Updated 27 April 2017

Dr Jinmi & Partners; previously registered as Dr Goutam and Partners provide a range of personal medical services for people of Houghton Regis in Bedfordshire and serve a registered population of approximately 10,500 patients. The practice is also known as Houghton Regis Medical Centre.

The practice population is predominantly white British but the practice also serves patients from the ethnic minority groups mostly of eastern European and Asian backgrounds.

Clinical staff at this practice include four GP partners, two practice nurses, and one health care assistant. The practice manager, administration and reception staff support the practice.

Community nurses, health visitors and a midwife from the local NHS trust also provide a service at this practice.

Out of hours care when the surgery was closed was through the NHS 111 service.

Updated 27 April 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Goutam and Partners on 12 January 2015. A breach of legal requirements was found.

It should be noted that since the inspection on 12 January 2015 the practice has changed its name to Dr Jinmi and Partners. The practice is also known as Houghton Regis Medical Centre.

After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to;

• Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment.

We undertook a focused inspection of Dr Jinmi and Partners on 26 July 2016 to check that they had followed their plan and to confirm that they now met legal requirements.

This report covers our findings in response only to those concerns which were highlighted in the original inspection.

You can read the full report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Goutam & Partners on our website at www.cqc.org.uk.

Our findings from this focused inspection were that the practice had made improvements since our previous inspection and were now meeting regulations that had previously been breached.

Specifically:

• The updated recruitment policy was compliant with existing legislation.

• Previously missing pre-employment checks on staff had been completed and recruitment check processes had been implemented .
• Systems had been adopted to ensure appropriate checks regarding professional standards of nursing staff were maintained.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 8 May 2015

The practice is rated as good for the care of people with long-term conditions. 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 a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 8 May 2015

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. 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. Emergency processes were in place and referrals were made for children and pregnant women whose health deteriorated suddenly.

Updated 8 May 2015

The practice is rated as good for the care of older people. 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 and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 8 May 2015

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 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.

Updated 8 May 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It 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 such as MIND. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health.

Updated 8 May 2015

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 those with a learning disability. It had carried out annual health checks for people with a learning disability. It offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. 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.