• Doctor
  • GP practice

Aspire Medical Centre

Overall: Good read more about inspection ratings

292a Barking Road, East Ham, London, E6 3BA (020) 8472 0669

Provided and run by:
Aspire Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Aspire Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Aspire Medical Centre, you can give feedback on this service.

24 October 2022

During an inspection looking at part of the service

We carried out an unannounced focused inspection at St Bartholomew’s Surgery on 24 October 2022. Overall, the practice is rated as good carried forward from the previous inspection.

Safe – Not rated, rating of good carried forward from previous inspection.

Effective – Not inspected, rating of good carried forward from previous inspection.

Caring – Not inspected, rating of good carried forward from previous inspection.

Responsive – Not inspected, rating of good carried forward from previous inspection.

Well-led -Not inspected, rating of good carried forward from previous inspection.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for St Bartholomew’s Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this focused inspection to follow up concerns reported to us. The focused inspection looked at parts of the key question safe. The areas we looked at were the prevention and management of infectious diseases, and the management and maintenance of the premises.

How we carried out the inspection

This included:

  • Speaking with the practice manager and some staff.
  • A review of documents.
  • A short site visits.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We found that:

  • The practice had responded to the flood and repaired the damage. However, they had not fully considered and investigated the possible risks to patients and staff of continuing to use the reception administration area.

Although we did not find a breach of regulation, we recommend that the provider should:

  • Always raise a significant event to promote learning when an incident occurs.
  • Always fully consider and investigate the possible health and safety and infectious diseases risks to patients and staff when any incident occurs.
  • Always inform the appropriate agencies when there is an incident and a possible risk of spreading of a infectious diseases.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

Desk based review

During an inspection looking at part of the service

We carried out an announced review of the “are services effective” key question, at St Bartholomew’s Surgery on 1 July 2021. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led – Good

Following our previous inspection on 24 February 2020, the practice was rated Good overall and for the key questions safe, caring, responsive and well-led. The practice was rated requires improvement for providing effective services and issued a requirement notice for Regulation 17(1) Good governance.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for St Bartholomew’s Surgery on our website at www.cqc.org.uk

Why we carried out this review

This review was a focused review of information without undertaking a site visit to follow up on breaches of Regulation 17 Good governance. At the previous inspection we found:

  • Arrangements to ensure clinical effectiveness and consistency needed improving, including elements of health assessments, case finding, oversight or review of care, cancer care, mental health and child immunisations.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.

This review was carried out without visiting the location by requesting documentary evidence from the provider.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall and for all population groups.

The practice had made the necessary improvements to improve clinical effectiveness and consistency:

  • The practice arranged timely and appropriate care for older patients living with moderate or severe frailty.
  • The practice had improved its systems to identify patients with long term conditions, and to provide appropriate clinical care and treatment for these patients.
  • The practice had improved its clinical performance data for care planning for people living with a severe mental illness; and for uptake rates for childhood immunisations and cancer screening.

The areas where the provider should make improvements are:

  • Continue to embed arrangements to improve clinical performance for childhood immunisations, cancer care and screening.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

24 February 2020

During an inspection looking at part of the service

We carried out a focused inspection at St Bartholomews Surgery on 24 January 2020. The announced inspection was part of our inspection programme. Following a Care Quality Commission annual regulatory review to check for changes in quality we inspected the key questions effective and well-led. We used information from our previous inspection findings for the key questions safe, caring and responsive. The practice was previously inspected on 9 November 2017 and was rated good overall.

We based our judgement of the quality of care at this service on a combination of:

  • What we found when we inspected,
  • information from our ongoing monitoring of data about services
  • and information from the provider, patients, the public and other organisations

We have rated this practice as good overall and good for all population groups.

We found that:

  • Patients generally received effective care and treatment that met their needs, but some areas of clinical oversight, performance or governance needed improving.
  • The way the practice was led and managed kept patients safe and promoted the delivery of good-quality person-centre care.

We rated the practice as Requires improvement for providing effective services and requires improvement for the population groups because:

  • The practice ensured that care and treatment was delivered according to evidence-based guidelines.
  • Arrangements to ensure clinical effectiveness and consistency needed improving, including elements of health assessments, case finding, oversight or review of care, cancer care, mental health and child immunisations.

We rated the practice as good for providing a well led service because:

  • There was a clear leadership structure and staff felt supported by management.
  • The practice had a number of policies and procedures to govern activity and held regular governance meetings.
  • The way the practice was led and managed promoted the delivery of person-centre care.
  • The practice proactively sought feedback from staff and patients, which it acted on.

The areas where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

09 November 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We previously inspected the practice on 20 June 2016 and rated it then as Requires improvement overall. This was because it was not meeting legal requirements in relation to some aspects of patient safety, improving patient outcomes and governance arrangements. The June 2016 inspection report can be found at www.cqc.org.uk/location/1-539009738.

We carried out an announced comprehensive inspection at St Bartholomews Surgery on 09 November 2017 to follow up on breaches of regulations.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

  • 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.

  • National GP survey results showed patients did not always feel staff involved and treated them with care and concern. The practice took action and carried out a practice based survey which showed improvement.

  • National GP survey results showed patients found the appointment system easy to use and that they could access care when they needed it. Some feedback we received on the day of the inspection was less positive however. The patient participation group highlighted the need for more patient education on appointment booking.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

  • The practice had remedied the shortfalls identified at our previous inspection.

  • The provider had acted on recommendations we made at our previous inspection to improve the business continuity plan; the uptake of cervical screening; identifying and supporting carers; provisions for patients with hearing impairment and for patients for whom English is an additional language; and documenting meetings and following up agreed actions.

The areas where the provider should make improvements are:

  • Consider ways of improving patients’ understanding of the appointment booking system.

  • Include information about the role of the Health Services Ombudsman in its responses to complaints.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

20 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at St Bartholomew’s Surgery on 20 June 2016. Overall the practice is rated as requires improvement.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Not all safety systems and processes were in place such as fire safety, health and safety, medicines management and arrangements for the event of a medical emergency.
  • Systems to assess, monitor and improve safety were not effective for example infection control, monitoring use of prescriptions and cleaning of premises and equipment.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Staff had been trained to provide them with the knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services was not always easy to understand and improvements were not made to the quality of care as a result of complaints and concerns.
  • The majority of patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • 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 must make improvements are:

  • Arrange to assess, monitor, manage and mitigate risks to the health and safety of service users including health and safety, fire safety and COSHH.
  • Ensure safe and effective management of medicines and prescriptions and for the event of a medical emergency.
  • Improve and evaluate systems or policies to improve quality and safety such as complaints and completed audits or other clinical quality improvement activity.

In addition the provider should:

  • Ensure all necessary information is held in the business continuity plan.
  • Seek to improve the uptake of patients attending for cervical screening.
  • Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
  • Review arrangements to support patients who are deaf or hard of hearing, and whose first language is not English.
  • Implement effective arrangements for meetings documentation and actions follow up.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

5 August 2014

During a routine inspection

St Bartholomew’s Surgery is located in East Ham in the London borough of Newham, East London and has a patient list of approximately 9,600. Newham’s health profile shows that it is worse than the England average and at or below the regional average on a range of indicators including substance misuse, recorded diabetes and incidence of tuberculosis (TB). The national index of multiple deprivation lists Newham as the second most deprived out of 326 local authorities in England.

The practice operates from one site. The staff team consists of five GP partners (one female, four male), one salaried GP (male), two practice nurses, one part time health care assistant, one practice manager and a team of reception and administration staff. During our inspection, we spoke with three GPs, two practice nurses, practice manager and reception staff.

All of the patients that we spoke with and those who completed comment cards were positive about the service they received at St Bartholomew’s Surgery. During our inspection we observed that patients were cared for in a respectful and compassionate manner. 

We noted that clinical staff met weekly to review patient progress. Meetings also routinely took place with other clinicians and the practice hosted or delivered a range of clinics which were relevant to the local health profile. These included ante natal and sexual health clinics.

The practice participated fully in Quality and Outcomes Framework (QOF) - a voluntary incentive scheme rewarding practices for how well they care for patients. The framework was used to improve services and benchmark (or compare) the practice with other practices in the borough.

The practice has an above average number of patients aged over sixty five relative to Newham and is slightly below average regarding patients aged under eighteen. Poor mental health, recorded sexual health infections and diabetes are overly represented in the borough; and this is also the case at the practice level. During our inspection, we noted that the practice was responsive to the needs of its population group. Examples included screening programmes for patients at risk of developing diabetes and weekly ante natal clinics. We also noted that the practice hosted an outpatient clinic delivered by the local community mental health team and provided a weekly sexual health clinic.

The provider was in breach of regulations related to:

Requirements relating to workers

Infection control and cleanliness

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.