- GP practice
Archived: Curzon Avenue Surgery
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All Inspections
4 May 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out a focussed, desk based review inspection at Curzon Avenue Surgery on 4 May 2017. We found the practice to be good for providing safe services and it is rated as good overall.
We previously conducted an announced comprehensive inspection of the practice on 25 August 2016. As a result of our findings, the practice was rated as good for being responsive, effective, caring and well led; and rated as requires improvement for being safe, which resulted in a rating of good overall. At that time, we found that the provider had breached Regulation 12 (1) (Safe care and treatment) of the Health and Social Care Act 2008, due to the absence of appropriately signed documentation which would enable the practice nurse to legally administer medicines.
The practice wrote to us to tell us what they would do to make improvements and meet the legal requirements. We undertook this focussed desk based inspection to check that the practice had followed their plan, and to confirm that they had met the legal requirements.
This report only covers our findings in relation to those areas where requirements had not been met. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Curzon Avenue Surgery on our website at www.cqc.org.uk/location/1-545108193.
Our key findings across all the areas we inspected were as follows:
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The practice had taken action to ensure that appropriately signed documentation was on file to allow the practice nurse to legally administer medicines.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
25 August 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Curzon Avenue Surgery on 25 August 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 with the exception of risks related to the absence of documentation in place which allowed the practice nurse to legally administer medicines.
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Staff assessed patients’ needs and delivered care in line with current evidence based guidance although we did not see a formal system in place enabling clinical staff to discuss and share learning from NICE guidelines.
- 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.
- 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.
- 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 improvement are:
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Ensure that there are appropriately signed patient group directions (PGDs) on file for the practice nurse, to enable them to legally administer medicines.
The areas where the provider should make improvement are:
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Consider introducing a more team centred approach to sharing learning from NICE guidelines.
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Ensure that prescription pads are securely stored.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
4 June 2014
During a routine inspection
Curzon Avenue Surgery is in Ponder’s End in the London borough of Enfield. The practice provides primary medical services and level 1 minor surgery (joint injections) to approximately 5,900 patients and is situated in a converted residential premises. Curzon Avenue Surgery is a training practice for GP registrars. These are qualified doctors who wish to pursue a career in general practice.
During our inspection we spoke with clinical and non- clinical staff at the practice and patients who used the practice. We also spoke to members of the Patient Participation Group (PPG).
We found the service was responsive to the needs of older patients, patients with long-term conditions, mothers, babies, children and young people, working age populations and those recently retired, patients in vulnerable circumstances and those experiencing poor mental health. Patients with long-term conditions, such as diabetes, received regular reviews of their health conditions.
The practice informed patients about the services it provided, although information was not routinely available in other languages, for example Turkish, to cater for the needs of the large Turkish population. The practice encouraged patients experiencing poor mental health to attend for regular reviews and liaised with the local drug and alcohol teams and voluntary services. There was good access to appointments, which were prioritised according to risk. GPs made home visits and operated a telephone service at the start and end of the day to cater for patients who worked and were unable to attend the practice during normal hours.
We found there were some areas where the practice could make improvements to services. For example, the practice nurse attending weekly practice meetings with clinical staff and taking the lead on health promotion. The current practice arrangements make it difficult for non-clinical staff to meet on a regular formalised basis. The practice would benefit from a more robust prescription tracking system.