Dr. Jeyanathan and partners - Care Quality Commission

Background to this inspection

Updated 22 May 2017

Dr. Jeyanathan and partners is a based in a large NHS health centre, in Lewisham, in south-east London. The building also houses two other GP practices, a GP walk-in centre and a range of community services including health visitors, midwives, sexual health, district nurses, blood tests and a foot health clinic.

Three doctors work at the practice. The practice is run by two male partners and there is one female salaried GP. All of the GPs work part-time. The working hours added together equate to just over two full time roles (whole time equivalents).

There is one female practice nurse. She works part-time, with all of the nursing hours adding up to just under half a full-time role.

The practice is open 8am to 6.30pm Monday to Friday. Extended hours are offered on Tuesday 6.30pm to 8.00pm. Appointments are available from 8.30am to 11.30am and 3pm to 6pm Monday to Friday. When the practice is closed cover is provided by a local out-of-hours service. In addition to bookable appointments, the practice operates a drop-in clinic every week day morning.

There are 4316 patients at the practice. Compared to the England average, the practice has more young children as patients (age up to nine) and fewer older children (age 10 – 19). There are more patients aged 20 – 49, and many fewer patients aged 50+ than at an average GP practice in England.

Life expectancy of the patients at the practice is in line with CCG and national averages. The practice population scores highly on national measures of deprivation: people living in the area are measured to be on the third decile (the first decile is most deprived and the tenth is the least deprived).

The practice is in the Lewisham Clinical Commissioning Group area and offers GP services under an NHS Personal Medical Services contract. It is registered with the CQC to provide diagnostic and screening procedures, maternity and midwifery services, treatment of disease, disorder or injury, family planning and surgical procedures.

Overall inspection

Good

Updated 22 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr. Jeyanathan and partners on 20 April 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the April 2016 inspection can be found by selecting the ‘all reports’ link for Dr. Jeyanathan and partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 4 May 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 20 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

The practice had taken action on all of the areas identified for improvement.
There were clearly defined and embedded systems, processes and practices in place to keep patients safe and safeguarded from abuse.
Risks to patients were assessed and well managed.
There was an overarching governance framework which supported the delivery of the strategy and good quality care. This included arrangements to monitor and improve quality and identify risk.

However, the provider should:
Monitor complaints handling to ensure consistent responses in line with guidance.
Verify that Control of Substances Hazardous to Health assessments are correctly completed, to ensure appropriate precautions are in place.
Monitor systems to ensure all areas of the premises are clean and tidy.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice