The Care Quality Commission
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  • GP practice

Archived: Kingfisher Medical Centre

Overall: Good read more about inspection ratings

Staunton Street, Deptford, London, SE8 5DA (020) 8692 7373

Provided and run by:
Kingfisher Medical Centre

Important: The provider of this service changed. See new profile

All Inspections

4 April 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kingfisher Medical Centre on 1 June 2016. The overall rating for the practice was good. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Kingfisher Medical Centre  on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 4 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 1 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • There had been an increase in quality improvement activity. The number of audits carried out had increased, and two had been completed to check that improvement had been made.
  • A new staff member had received an induction and the three staff members' files we checked had received annual appraisals.
  • The five staff members' files we checked had received the essential training for their role. Some of the training we recommended had been undertaken only recently.
  • Action had been taken on all of the areas we identified for improvement. This included the identification of patients with caring responsibilities. The practice sent us evidence of new posters in the practice premises and on the website. The number of carers identified had increased from 35 to 37. This was still under 1% of the practice list.

There were some areas where the provider should continue to make improvements.

The provider should:

  • Continue to develop the quality improvement programme, completing audits to confirm that improvements have been made and sustained.

  • Develop an effective system to ensure that all training is undertaken and updated at recommended intervals.

  • 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.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

1 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kingfisher Medical Centre on 1 June 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 with a system in place for reporting and recording significant events, although this was not being used consistently.
  • Risks to patients were assessed and well managed, except in relation to responding to medical emergencies.
  • 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.
  • 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.
  • 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:

  • Ensure that the quality of care is monitored and improved through audits.
  • Ensure that all staff receive an annual appraisal.

The areas where the provider should make improvement are:

  • Ensure that ‘near miss’ events are managed using the practice’s significant event process, so that learning can be recorded and monitored to ensure improvements are sustained, and that prescription slips are stored securely at all times and that complete records of their use are kept.
  • Complete the planned purchase of emergency equipment, or document a robust assessment to consider and mitigate the risks of not having a defibrillator in the practice, so that appropriate action can be taken in medical emergencies.
  • Ensure that all staff receive an induction and all of the required and recommended training, including fire safety and adult safeguarding.
  • Develop the quality improvement programme, and consider repeating audits to confirm that improvements have been made and sustained. Continue to monitor and take action to improve patient satisfaction with aspects of consultations.
  • 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.
  • Ensure consistent monitoring of use of blank prescription forms and pads.


Professor Steve Field

CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice