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Jai Medical Centre, Edgware.

Jai Medical Centre in Edgware is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, 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 18th August 2017

Jai Medical Centre is managed by Vidhyaben Patel who are also responsible for 1 other location

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 2017-08-18
    Last Published 2017-08-18

Local Authority:

    Barnet

Link to this page:

    HTML   BBCode

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.

22nd June 2017 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Jai Medical Centre (known as Jai Medical Centre - Edgware) on 4 May 2016. During the inspection we identified a range of concerns including an absence of documentation allowing the practice’s Health Care Assistant to legally administer medicines and an absence of a robust complaints management system. (The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Jai Medical Centre on our website at www.cqc.org.uk).The overall rating for the practice was requires improvement.

An announced comprehensive inspection was undertaken on 22 June 2017. Overall the practice is now rated as good.

We noted that although Jai Medical Centre Edgware and Jai Medical Centre Hendon held separate CQC registrations, their NHS contract defined them as a main location and branch location with a single patient list. Consequently, national GP patient survey results and QOF results relate to both practices. We also noted that an application had been submitted to CQC to amend its practice registration and seek alignment with its NHS contract.

Our key findings of our inspection of Jai Medical Centre Edgware were as follows:

  • Appropriate documentation was now on file to legally allow the practice’s Health Care Assistant to administer medicines.

  • Action had been taken to improve the monitoring of patient outcomes in that this information was now available at the practice level.

  • Action had been taken to improve complaints management in that filing systems were now well organised and there was a clear system in place to ensure that learning from complaints was documented and shared with staff.

  • Action had been taken to ensure that governance arrangements in areas such as quality improvement and risk management facilitated the delivery of high-quality person-centred care.
  • We noted that due to the nature of the NHS contract, national GP patient survey related to Jai Medical Centre Edgware and Jai Medical Centre Hendon. However, we saw evidence of how Jai Medical Centre Edgware had acted on patient feedback from other sources such as complaints and significant events.

  • Clinical audit was being used to drive quality improvement.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
  • Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect.
  • 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.
  • 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 provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

  • Continue to monitor and take action as necessary to improve cervical screening and child immunisation uptake rates.

  • Continue with efforts to improve patient satisfaction regarding its phone system.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

4th May 2016 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Jai Medical Centre (known as Jai Medical Centre - Edgware) on 4 May 2016. During the inspection we identified a range of concerns including an absence of documentation allowing the practice’s Health Care Assistant to legally administer medicines and an absence of a robust complaints management system. (The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Jai Medical Centre on our website at www.cqc.org.uk).The overall rating for the practice was requires improvement.

An announced comprehensive inspection was undertaken on 22 June 2017. Overall the practice is now rated as good.

We noted that although Jai Medical Centre Edgware and Jai Medical Centre Hendon held separate CQC registrations, their NHS contract defined them as a main location and branch location with a single patient list. Consequently, national GP patient survey results and QOF results relate to both practices. We also noted that an application had been submitted to CQC to amend its practice registration and seek alignment with its NHS contract.

Our key findings of our inspection of Jai Medical Centre Edgware were as follows:

  • Appropriate documentation was now on file to legally allow the practice’s Health Care Assistant to administer medicines.

  • Action had been taken to improve the monitoring of patient outcomes in that this information was now available at the practice level.

  • Action had been taken to improve complaints management in that filing systems were now well organised and there was a clear system in place to ensure that learning from complaints was documented and shared with staff.

  • Action had been taken to ensure that governance arrangements in areas such as quality improvement and risk management facilitated the delivery of high-quality person-centred care.
  • We noted that due to the nature of the NHS contract, national GP patient survey related to Jai Medical Centre Edgware and Jai Medical Centre Hendon. However, we saw evidence of how Jai Medical Centre Edgware had acted on patient feedback from other sources such as complaints and significant events.

  • Clinical audit was being used to drive quality improvement.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
  • Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect.
  • 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.
  • 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 provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

  • Continue to monitor and take action as necessary to improve cervical screening and child immunisation uptake rates.

  • Continue with efforts to improve patient satisfaction regarding its phone system.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

18th February 2014 - During an inspection to make sure that the improvements required had been made pdf icon

At our last inspection in September 2013 we found that the provider was non-compliant with standards relating to the management of medicines.

During the inspection we found that on nine occasions the temperature of the fridge, used to store vaccines requiring cold storage had exceeded the maximum temperature of 8 degrees Celsius. For vaccines to be effective, it is important that they are stored within the temperature range recommended by manufacturers to ensure that they remain effective. On those occasions we found no information had been provided as to why this rise in temperature had occurred or what actions had been taken to address the temperature increase.

We spoke to staff about their recent training in the management of the cold chain. A practice nurse was able to explain best practice as recommended by the Health Protection Agency and what to do should the fridge exceed the maximum temperature of 8 degrees Celsius.

At the inspection in September 2013 we also found that although the majority of drugs were in date, three medicines had past their expiry dates when checking medications stored in the fridge.

At this inspection we found improvements had been made. We checked the fridge temperature recording information recorded since December 2013. We found on three occasions the temperature had exceeded 8 degrees Celsius. We found that on each occasion the reason for this was noted along with the time and date.

We looked at vaccines held in the practice fridge. We found all vaccines to be in date. We also found that the stock management of the fridge was being maintained.

9th September 2013 - During a routine inspection pdf icon

All seven patients spoken with were satisfied with the service they received and felt it met their needs. A patient told us “whenever I require their service (GP), they are always there”. Patients were given appropriate information and support. Patients were complementary about all staff working at the practice and said they were polite.

Care and treatment was planned and delivered in a way that was intended to ensure patient’s safety and welfare. There were arrangements in place to deal with medical emergencies. Staff had received cardio pulmonary resuscitation training and would therefore be able to deal with a medical emergency.

The practice had the relevant safeguarding policies and procedures to follow should they have concerns about a child or vulnerable adult. Staff had received relevant training to ensure patients were protected from the risk of abuse.

The practice lacked robust checks of stocked medication as there were some out of date drugs in the fridge. Information relating to immediate action taken to rectify increased temperatures of the fridge were not in place. This meant that there was a risk that vaccinations had not been stored safely to ensure their potency.

There were systems in place to monitor the quality of service provided and patients. Patients and their representatives were asked for their views about their care and treatment, although this system could be better publicised to all patients.

 

 

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