Archived: Angel Surgery

Updated 13 September 2018

Angel Surgery is based in Upper Edmonton, London Borough of Enfield and has a patient list of. 5,400. Thirty two percent of patients are aged under 18 (compared to the national practice average of 21%) and 5% are 65 or older (compared to the national practice average of 17%). Thirty seven percent of patients have a long-standing health condition. The services provided by the practice include child health care, ante and post natal care, immunisations, sexual health and contraception advice and management of long term conditions.

The practice holds a Personal Medical Services contract with NHS England. The staff team comprises two partner GPs (working a combined 24 sessions per week), a practice nurse, a practice manager and a team of administrative staff.

The practice’s opening hours are:

• Monday- Friday 8:30am-6:30pm

The practice offers extended hours opening at the following times:

• Monday: 6:30pm – 8:30pm

Outside of these times, cover is provided by an out of hours provider.

The practice is registered to provide the following regulated activities which we inspected:

Diagnostic and screening procedures; Maternity and midwifery services; and Treatment of disease, disorder or injury

This location has not been inspected before. The previously registered and inspected location was cancelled when its sole GP was joined by another GP, to form the current partnership location.

Updated 13 September 2018

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Angel Surgery on 7 July 2018, as part of our inspection programme. This location has not been inspected before having been registered in November 2017. The previously registered and inspected service at this location was cancelled when the sole GP was joined by another GP to form the current partnership location.

At this inspection we found:

• Although overall, the practice had systems to manage risk, we noted that risks associated with the Legionella bacterium (which can contaminate water systems in buildings) were not proactively managed.
• There were systems in place for sharing learning from incidents with all relevant staff; and for ensuring this learning improved safety.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Most patients fed back that the appointment system was easy to use and that they were able to access care when they needed it.
• There was an effective, process to identify, understand, monitor and address current and future risks including risks to patient safety.

The areas where the provider should make improvements are:

• Take action to ensure that water temperature monitoring is undertaken in accordance with the service’s Legionella risk assessment.
• Review the system for identifying how carers are identified.
• Develop a written protocol for monitoring and prescribing high risk medicines.
• Take action to improve national GP patient survey satisfaction regarding access to care and treatment and staff interaction.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018

Updated 13 September 2018