Billet Lane Medical Practice, Hornchurch.

Billet Lane Medical Practice in Hornchurch 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 2nd October 2017

Billet Lane Medical Practice is managed by Billet Lane Medical Practice.

Contact Details:

Address: Billet Lane Medical Practice 58b Billet Lane Hornchurch RM11 1XA United Kingdom Telephone: 01708442377

Ratings:

For a guide to the ratings, click here.

Further Details:

Important Dates:

Last Inspection		2017-10-02
Last Published		2017-10-02

Local Authority:

Havering

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.

23rd August 2017 - During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Billet Lane Medical Practice on 14 September 2016. The overall rating for the practice was requires improvement as safe, caring and well led were rated requires improvement and effective and responsive were rated as good. The full comprehensive report on the 14 September 2016 inspection can be found by selecting the 'all reports' link for Billet Lane Medical Practice on our website at www.cqc.org.uk.

This follow up inspection was undertaken as an announced comprehensive inspection on 23 August 2017. Overall the practice is now rated as Good.

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
• Arrangements for managing medicines (obtaining, prescribing, recording, handling, storing, security and disposal) were safe; including systems for ensuring that medicines reviews and repeat authorisation functions were undertaken in accordance with recognised guidelines. In addition, the practice ensured that PGD’s (Patient Group Directions) were reviewed, signed and authorised for all locum nurses.
• The practice had reviewed storage arrangements for emergency medicines to allow staff to easily access them in an emergency.

• The practice had established a process for monitoring the use of prescription pads.

• Recruitment checks were now being undertaken for all locum clinicians.
• Staff appraisals had taken place to ensure staff had the appropriate skills and training to do their jobs. Learning and development needs were being identified, planned and supported.
• Feedback from patients about their care was consistently positive.
• Carers were being identified and recorded to enable carers to receive appropriate support.
• The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs.
• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group. For example, the practice website had been developed to help share information about the practice and the services it provides.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice actively reviewed complaints and how they are managed and responded to, and made improvements as a result.
• The practice had a clear vision which had quality and safety as its top priority. The strategy to deliver this vision had been produced with stakeholders and was regularly reviewed and discussed with staff.
• The practice had strong and visible clinical and managerial leadership and governance arrangements. For example, policies and procedures and business continuity arrangements were up to date and in line with practice arrangements and published best practice guidelines.

However, there were also areas of practice where the provider should make improvements.

The provider should:

• Review their fire safety policy to ensure Fire wardens are identified andappropriately trained.
• Continue to review access to the practice via telephone so that patients can make timely appointments and arrange to speak to a GP or nurse.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

14th September 2016 - During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Billet Lane Medical Practice on 14 September 2016. The overall rating for the practice was requires improvement as safe, caring and well led were rated requires improvement and effective and responsive were rated as good. The full comprehensive report on the 14 September 2016 inspection can be found by selecting the 'all reports' link for Billet Lane Medical Practice on our website at www.cqc.org.uk.

This follow up inspection was undertaken as an announced comprehensive inspection on 23 August 2017. Overall the practice is now rated as Good.

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
• Arrangements for managing medicines (obtaining, prescribing, recording, handling, storing, security and disposal) were safe; including systems for ensuring that medicines reviews and repeat authorisation functions were undertaken in accordance with recognised guidelines. In addition, the practice ensured that PGD’s (Patient Group Directions) were reviewed, signed and authorised for all locum nurses.
• The practice had reviewed storage arrangements for emergency medicines to allow staff to easily access them in an emergency.

• The practice had established a process for monitoring the use of prescription pads.

• Recruitment checks were now being undertaken for all locum clinicians.
• Staff appraisals had taken place to ensure staff had the appropriate skills and training to do their jobs. Learning and development needs were being identified, planned and supported.
• Feedback from patients about their care was consistently positive.
• Carers were being identified and recorded to enable carers to receive appropriate support.
• The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs.
• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group. For example, the practice website had been developed to help share information about the practice and the services it provides.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice actively reviewed complaints and how they are managed and responded to, and made improvements as a result.
• The practice had a clear vision which had quality and safety as its top priority. The strategy to deliver this vision had been produced with stakeholders and was regularly reviewed and discussed with staff.
• The practice had strong and visible clinical and managerial leadership and governance arrangements. For example, policies and procedures and business continuity arrangements were up to date and in line with practice arrangements and published best practice guidelines.

However, there were also areas of practice where the provider should make improvements.

The provider should:

• Review their fire safety policy to ensure Fire wardens are identified andappropriately trained.
• Continue to review access to the practice via telephone so that patients can make timely appointments and arrange to speak to a GP or nurse.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice