13 July 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Clapham Road Surgery on 13 July 2016. Overall the practice is rated as good.
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.
- Risks to patients were assessed and well managed.
- The practice had a comprehensive business continuity plan in place which included emergency contact numbers for staff and there was a telephone cascade system in place in case of an emergency.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. 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 and they were involved in their care and decisions about their treatment.
- All unplanned hospital admissions were followed up by the health care assistant and any issues were highlighted to an appropriate clinican.
- The practice had reviewed it’s clinics for childhood immunisations and made improvements to ensure efficiency and to reduce the risk of errors, for example by ensuring that a GP and nurse led each clinic. 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.
- 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. A number of renovations had been carried out to make the property more accessible for patients with mobility 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 should make improvement are:
- Continue to identify and support carers.
- Continue to encourage patient uptake for cancer screening.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice