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Dr Jones Sr Practice, 2 Bata Avenue, East Tilbury, Tilbury.

Dr Jones Sr Practice in 2 Bata Avenue, East Tilbury, Tilbury is a Doctors/GP specialising in the provision of services relating to family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 29th July 2016

Dr Jones Sr Practice is managed by Dr Jones Sr Practice.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2016-07-29
    Last Published 2016-07-29

Local Authority:

    Thurrock

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

5th July 2016 - During an inspection to make sure that the improvements required had been made pdf icon

Letter from the Chief Inspector of General Practice

On 12th November 2015, we carried out a comprehensive inspection at Dr Jones Sr. The practice was rated as requires improvement overall, with requires improvement for safe and well-led and good for effective, caring and responsive services. The practice was issued with a requirement notice for improvement. We also made some advisory recommendations where the practice should make other improvements in the effective domain but these were not the subject of a requirement notice.

In particular, we found that improvements were required in relation to safeguarding procedures, staff awareness of Gillick consent, the training of chaperones, the monitoring of emergency medicines and reviews of patients on blood thinning treatments, the monitoring of uncollected prescriptions for vulnerable patients, clinical attendance at meetings, updates of NICE guidelines for clinical staff and the recording of complaints.

After this inspection the practice sent us an action plan that identified how they would achieve the improvements and the date when they would be completed. We then carried out an announced focused inspection at Dr Jones Sr Practice on 5th July 2016 to check that the necessary improvements had been made.

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

  • The records of patients who were subject of safeguarding concerns were detailed. They included all relevant information and referenced where other agencies had been involved.

  • Staff were aware of Gillick competency in relation to children under the age of 16 who wished to book an appointment without a parent or guardian being present.

  • Staff had received chaperone training to ensure that they were equipped for the role. GPs recorded when a chaperone had been used.

  • There was a system in place to monitor the expiry dates of emergency medicines in the practice and when carried by GPs when they were away from the practice.

  • The practice ensured that vulnerable patients who had not collected their prescriptions were reviewed to ensure that they were not at risk of their health deteriorating.

  • Nurses attended clinical team meetings.

  • National Institute for Health Care Excellence (NICE) guidance was reviewed and cascaded to clinical members of staff.

  • All complaints were recorded so that any trends or themes could be identified.

  • Patients requiring repeat prescriptions for blood thinning medicines were appropriately monitored before a prescription was issued.

We were satisfied that the practice had made the required improvements to justify a change of rating to good for the safe and well-led domains.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

12th November 2015 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Jones Sr Practice on 12 November 2015. Overall the practice is rated as requires improvement.

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

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. They were analysed and areas for improvement identified.
  • All staff had received safeguarding training and understood the various types of abuse that could take place.
  • The practice had an effective recruitment process, staff were suitably qualified and experienced and received role specific inductions.
  • Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
  • Staff were aware of relevant legislation in relation to consent including the Mental Capacity Act 2005.
  • Clinical performance was monitored regularly and performance against targets was high. All staff understood their roles and were involved in achieving healthcare objectives.
  • Data available to us, feedback on CQC comment cards and information received from the patients we spoke with reflected that patients were satisfied with the services provided.
  • Patients resident in a local care home received regular reviews of their care and treatment and their needs were being met.
  • The practice had a clear vision and had identified the objectives of the practice. This was monitored, regularly reviewed and discussed with staff.
  • There was visible leadership and staff felt included and valued.

However there were areas where the provider must make improvements;

  • Ensure records of patient’s subject of safeguarding concerns are completed in sufficient detail to identify the issues of concern and the action taken to monitor or mitigate the on-going risks to them.
  • Ensure that non-clinical/reception staff are aware of Gillick competency in relation to children under the age of 16 who wish to book appointments without a parent being present.
  • Ensure that staff carrying out chaperone duties receive training to equip themselves for the role.
  • Improve the system of monitoring the expiry date of emergency medicines carried by GPs when away from the practice.

There were also areas where the provider should make improvements;

  • GPs to record the use of chaperones in patient records.
  • Monitor prescriptions not ordered nor collected by vulnerable patients to ensure that their health has not deteriorated.
  • Involve nursing staff in clinical team meetings.
  • Monitor updated National Institute for Health and Care Excellence (NICE) guidance and cascade to clinical members of staff.
  • Record all complaints to identify themes and trends to improve services.
  • Implement a system to ensure that patients requiring repeat prescriptions for blood thinning medicines are receiving appropriate monitoring of their blood levels.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

 

 

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