Mildmay Medical Practice - Care Quality Commission

Background to this inspection

Updated 18 August 2017

The Mildmay Medical Practice is situated within the NHS Islington Clinical Commissioning Group (CCG). The practice provides services under a General Medical Services (GMS) contract to approximately 6,450 patients. The practice has car parking and is located within a two storey purpose built premises with all clinical rooms and patient facilities located on the ground floor. The practice provides a full range of services including child and travel vaccines, extended hours and family planning including coil fitting. It is registered with the Care Quality Commission to carry out the regulated activities of maternity and midwifery services, family planning services, treatment of disease, disorder or injury, and diagnostic and screening procedures.

The staff team at the practice includes two GP partners (one male working six sessions per week and one female working ten sessions per week), a long term regular male locum GP working 5.5 sessions per week, two regular locum GPs (one male and one female working a total of six sessions per week), a female practice nurse working eight sessions per week, a practice manager working 35 hour per week, and a team of reception and administrative staff working a mixture of part time and full time hours.

The practice’s opening hours are 8.30am to 6.30pm every weekday except Thursday when it opens from 8.30am to 2pm, its doors and telephone lines remain open throughout these periods. GP appointments are available from 8.30am to 12.30pm and 3.30pm to 6.30pm every weekday except Thursday when the last appointment is at 12.45pm. Home visits are available and telephone consultations including during lunch time periods. Online pre-bookable appointments and urgent appointments are available for patients who need them. The practice provides extended hours from 6.30pm to 7.15pm on Mondays and Tuesdays and from 6.30pm to 7pm on Wednesdays and Fridays. Patients telephoning when the practice is closed are transferred automatically to the local out-of-hours service provider. Additional out-of-hours appointments are available via a network of local practices called I:HUB from 6.30pm to 8pm every week day, and 8am to 8pm on Saturday and Sunday.

The information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The practice area has a higher percentage than national average of people whose working status is unemployed (9% compared to 5% nationally), and a lower percentage of people over 65 years of age (8% compared to 17% nationally). The average male and female life expectancy for the practice is 78 years for male (compared to 77 years within the Clinical Commissioning Group and 79 years nationally), and 83 years for females (which is the same within the Clinical Commissioning Group and nationally). The practice told us its patients demographic was approximately one third recorded as “British/mixed British”, and a further third as “Other White” many of whom were Turkish non-English speaking, and that registrations from black and other ethnic minority groups were increasing.

Overall inspection

Good

Updated 18 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mildmay Medical Practice on 25 November 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Mildmay Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 19 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 25 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

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Overall the practice is now rated as good.

Our key findings were as follows:

Safety alerts were logged, reviewed and shared with staff.
All staff had received appropriate safeguarding, child protection and basic life support training.
All staff had received a disclosure and barring service (DBS) check.
Fire safety systems had been reviewed and all fire prevention monitoring systems were up to date.
The practice had purchased a defibrillator and all staff were trained in its use.
A staff induction plan had been implemented and included topics such as safeguarding, basic life support and fire safety awareness.
Consent was being monitored and audited.
Failsafe systems for the cervical screening programme were in place.
Staff were aware of the vision and values of the practice and it was on display in the practice.
An overarching governance framework supported the delivery of the strategy and good quality care.
The practice had an active patient participation group.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice