Chichele Road Surgery in the London borough of Brent has been rated Inadequate overall by the Care Quality Commission.
The practice was rated Inadequate for being safe, effective and well-led. It was rated Good for being caring and responsive, following an inspection in October 2019.
Inspectors found that appropriate standards of cleanliness and hygiene were not met. There were gaps in systems to assess, monitor and manage risks to patient safety.
There were no clear systems, practices and processes to keep people safe and safeguarded from abuse. The practice did not always have systems for the appropriate and safe use of medicines.
The practice did not have an adequate system to learn and make improvements when things went wrong.
While the practice had made some improvements since our last inspection, it had not appropriately addressed a Requirement Notice in relation to the improving clinical performance.
There was a lack of established clinical leadership and leaders could not show that they had the capacity and skills to deliver high quality, sustainable care.
Inspectors saw little evidence of systems and processes for learning, continuous improvement and innovation.
Areas where the provider must now make improvements are:
- Ensuring that care and treatment is provided in a safe way.
- Establishing effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Areas where the provider should now make improvements include:
- Ensuring sharps injury guidance is available in consulting or treatment rooms.
- Improving the recording of complaints and ensuring learning is shared effectively.
However, staff dealt with patients with kindness and respect and involved them in decisions about their care and patients could access the service in a timely manner.
Head of Inspection for Primary Medical Services in London, Antony Hall, said: “We are placing Chichele Road Surgery in special measures and we will inspect again within six months.
“The service will be kept under review and if needed could be escalated to urgent enforcement action. Special measures will give people who use the service the reassurance that the care they get should improve.”
You can read the report in full when it is published on CQC’s website at www.cqc.org.uk/location/1-541883379
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