Bayswater Medical Centre in Westminster has been rated Inadequate overall by the Care Quality Commission - and has now been placed in special measures.
The practice, which looks after 7,500 patients in London’s Westminster, was rated Inadequate for being well-led and safe. It was rated Requires Improvement for being effective and Good for being caring and responsive, after the inspection in May 2018.
CQC inspectors found that the practice had not addressed all of the findings of previous inspection and additional concerns were found.
Risks to patients were not assessed properly regarding legionella, fire safety, and infection control. Practice leaders did not consistently have the knowledge or capacity to prioritise safety and quality improvement. There was a poor track record in terms of maintaining improvement and the practice was reactive rather than proactive.
There was no evidence of regular structured or formalised clinical or practice meetings. The practice was unable to evidence how learning from significant events, patient safety alerts, clinical guidance and complaints was shared with staff.
The practice must now:
- Ensure care and treatment is provided in a safe way to patients.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The practice should now:
- Review best practice in relation to the recognition, diagnosis and early management of sepsis and consider if the practice can appropriately assess all patients, including children, with suspected sepsis.
- Continue to review and monitor patient outcomes in relation to childhood immunisations and the cervical screening programme.
Professor Ursula Gallagher, Deputy Chief Inspector, Primary Medical Services, said:
“I am concerned that not only has Bayswater Medical Centre failed to improve but it has actually dropped back to being rated as Inadequate for a second time. This is unacceptable for patients who have a right to expect high quality care at all times.
“Not only is CQC placing the practice back in special measures, but we will be exploring all of the mechanisms at our disposal to ensure that the issues are resolved in a sustainable way as quickly as possible.”
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I am concerned that not only has Bayswater Medical Centre failed to improve but it has actually dropped back to being rated as Inadequate for a second time
Professor Ursula Gallagher, CQC Deputy Chief Inspector, Primary Medical Services