Stanwell Road Surgery

Updated 15 June 2016

Stanwell Road surgery is located in a converted house in an urban residential area, near to the railway station. Consultation rooms are on both the ground and first floor. There are stairs with handrails leading to the first floor. The practice has limited space and is looking at options for moving to bigger premises.

The practice is located at:

95 Stanwell Road

Ashford

Middlesex

TW15 3EA

There are approximately 7,021 patients registered at the practice. Statistics show a degree of income deprivation among the registered population compared to the clinical commissioning group area. The population is made up of many different ethnic groups with the largest groups being British (68%), other white background (11%) and Indian/ British Indian (6%). The registered population is slightly higher than average for those aged 45 to 54.

The practice has four partners (two male and two female). Three of the doctors work full time and one works part time. There is one nurse practitioner, four practice nurses and a phlebotomist. The practice manager leads an administration team of nine staff including an assistant practice manager.

The practice is a training practice and there are regularly GP trainees working in the practice.

The practice is open from 7.30am to 6.30pm from Monday to Friday. Appointments are from 8am to 12.30pm every morning and 2pm to 6.10pm daily. In addition the practice offers extended hours opening with appointments from 7.30am from Monday to Friday. Patients can book appointments in person, by phone or on line.

Patients requiring a GP outside of normal working hours are advised to contact the NHS GP out of hours service on telephone number 111.

The practice has a General Medical Services (GMS) contract. GMS contracts are nationally agreed between the General Medical Council and NHS England.

Updated 15 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stanwell Road Surgery on 28 April 2016. Overall the practice is rated as good.

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

• The practice provided safe and effective clinical care.
• 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.
• The nurse practitioner was a nurse mentor and worked with the local university to train practice nurses.
• 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.
• The practice had reasonable facilities and was well equipped to treat patients and meet their needs.
• The practice ran a walk in teenage sexual health clinic for the local area. This was a unique service which was well used by teenagers in the practice population.
• The practice was a yellow fever centre and provided travel health services to people from outside the practice.
• 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 practice had a charter, written with the patient participation group, committed to giving patients the best service by the practice staff working together.
• The provider was aware of and complied with the requirements of the duty of candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 15 June 2016

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.
• 87% of patients on the diabetes register had a record of a foot examination and classification which was in line with the CCG average of 89% and national average of 88%.
• 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.

Updated 15 June 2016

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.
• 81% of eligible female patients had a cervical screening test which was in line with the clinical commissioning group average of 80% and national average of 82%.
• 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. At the time of the inspection there was no named health visitor for the practice due to issues with the provider of this service. The practice had to work with a rotation of different health visitors who were providing a cover service.
• The practice ran a walk in teenage sexual health clinic for the local area. This was a unique service which was well used. A practice survey run between October 2015 and January 2016 showed that 93% of respondents rated the service as good.
• Youth counsellors held a weekly clinic on site which patients could self-refer to or be referred to by a GP.
• The practice provided implant and intrauterine device fitting contraceptive services, as well as sexual health advice and counselling and testing for sexually transmitted infections.

Updated 15 June 2016

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, and offered home visits and urgent appointments for those with enhanced needs. This included carrying out urgent home blood tests to avoid long delays for patients due to low district nursing capacity.
• Practice nurses carried out health checks for patients over 75.
• The practice identified those patients most at risk of hospital admissions. A care coordinator contacted these patients after a discharge from hospital to offer assistance and check medication.
• A representative from an older person’s national charity attended the surgery every two weeks and held an open advice clinic for patients.

Updated 15 June 2016

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 offered early morning appointments from 7.30am for blood tests and GP consultations.
• 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.
• The practice had recently started an email service for patient queries with a 48 hour response time.
• The practice offered electronic prescribing allowing patients to collect prescriptions closer to their place of work.
• Registration forms, travel forms and self-certification certificates were available on the practice website for patients.
• The practice ran a travel clinic and was a yellow fever centre for patients from other local surgeries.

Updated 15 June 2016

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

• 80% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average.
• 91% of patients experiencing poor mental health had an agreed care plan, which is the same as clinical commissioning group average of 91% and better than the national average of 88%.
• 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. For example they sent on the day appointment reminders to patients.

Updated 15 June 2016

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.
• The practice offered longer appointments for patients with a learning disability and arranged appointments at suitable times and places for those patients who became agitated or scared by noise.
• The practice provided support for a care home for people with a learning disability which gave very positive feedback on the care the practice provided. The practice had agreed to look after these residents even though the home was outside the practice boundary, as other more local practices had not been willing to take on the care of the people in the care home.
• 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.
• 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.