23 November 2019
During a routine inspection
This service is rated as Good overall. We had previously carried out an announced comprehensive inspection on 24 January 2018. At that time the service was judged to be meeting the standards for providing effective, caring, responsive and well led care and treatment and not providing a safe service. We carried out a further inspection on 6 April 2019. At that inspection we rated the service as requires improvement overall and for the safe and effective key questions, and good for caring, responsive and well led. At that inspection, warning notices were issued for the following:
- The service undertook ID checks for patients when they attended clinics. Mobile telephone numbers were recorded, but not the patient’s address. As a consequence of this when the service needed to make a safeguarding referral where it appeared that a circumcision had been badly attempted previously elsewhere, the service was not able to make the referral. The doctor did not also consider that such a referral was required.
- The service had a protocol that both parents would need to sign consent. However, in one case we noted that only a single parent had signed the consent form. The doctor said that they would have contacted the other parent, but there was no record of this.
- The doctor had not undertaken the requisite training in paediatric life support.
We also said that the service should:
- Develop a quality improvement program.
- Undertake proactive patient surveys.
- Provide further safety netting information in post-operative checklists that are given to patients.
- Implement more regular reviews of policies.
We carried out an announced comprehensive inspection at Brixton Clinic on 23 November 2019. Following this inspection 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
At this inspection we found that the practice had addressed all of the issued from the previous inspections.
We found that:
- The service provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The service organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
The areas where the provider should make improvements are:
- Ensure that the website contains accurate service information.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care