Binfield Road Surgery in Stockwell, London is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 17th November 2017
Binfield Road Surgery is managed by Binfield Road Surgery.
Contact Details:
Address:
Binfield Road Surgery 1 Binfield Road Stockwell London SW4 6TB United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Binfield Road Surgery on 7 March 2017. The practice was rated good overall and requires improvement for providing services that were safe. The full comprehensive report from the March 2017 inspection can be found by selecting the ‘all reports’ link for Binfield Road Surgery Medical Centre on our website at www.cqc.org.uk.
This inspection was an announced desk-based review carried out on 23 October 2017 to confirm that the practice had carried out their plan to meet the recommendations we made in our previous inspection on 7 March 2017. This report covers our findings in relation to those recommendations made at our last inspection.
At our previous inspection undertaken on 7 March 2017, we rated the practice as requires improvement for providing safe services as:
Two members of staff were acting as chaperones without having had a DBS check undertaken prior to employment.
The fire risk assessment did not provide a comprehensive assessment of fire risks in the practice.
In addition to the breaches of regulation we identified we also suggested areas where the provider should make improvements including:
Take steps to make the practice complaints procedure easily accessible to patients and provide formal written response to written complaints.
Review systems for the storage and monitoring of Patient Group Directions (PGD).
Continue to work on embedding learning from significant events.
Continue to work on improving patient satisfaction regarding waiting times.
Consider recording multidisciplinary team and clinical meetings in a separate document in addition to within individual patient records.
The practice is now rated as good for the key question: Are services safe?
Our key findings were as follows:
All staff had received a DBS check and a practice policy had been drafted which required all staff who undertook the chaperoning role to have a DBS check. In addition their recruitment policy had been updated to refer to the new DBS policy.
The practice had updated their internal fire risk assessment using Health and Safety Executive guidelines.
In addition:
The practice provided us with a complaint log of recent complaints although this did not indicate that formal written responses were sent to patients when they complained in writing. The practice provided a copy of the complaint poster used to advertise the complaints policy.
The practice provided copy of their PGD policy which placed the responsibility for ensuring PGDs were valid on the individual practitioner with signed copies of these being kept by the practice.
The practice provided an example of a recent significant event which demonstrated learning and action taken.
The practice continued to minute multidisciplinary discussions in patient records and kept a log of the patients discussed in each meeting in an effort to reduce the administrative burden on clinical staff.
No further action had been taken to assess whether there had been any improve patient satisfaction with appointment waiting times. The period where data had been collected for the most recent national GP patient survey results pre dated the action the practice had taken to improve satisfaction with waiting times.
Areas where the practice should make improvement:
Continue with action to assess the impact of this on patient satisfaction.
Consider employing someone with suitable expertise in fire safety to undertake a fire risk assessment.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Binfield Road Surgery on 19 April 2016. The overall rating for the practice was requires improvement. The full comprehensive report from the inspection undertaken on 19 April 2016 can be found by selecting the ‘all reports’ link for Binfield Road Surgery on our website at www.cqc.org.uk.
As a result of our findings from this inspection CQC issued a requirement notice for the identified breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Specifically we found concerns related to the management of medicines, recruitment, processes to manage and mitigate risk, staff training and procedures to enable the practice to respond to significant events.
This inspection was undertaken over six months from the last inspection as the practice was rated as inadequate for one of the key questions; are services safe? This was an announced comprehensive inspection completed on 7 March 2017. Overall the practice is now rated as good.
Our key findings were as follows:
There was an open and transparent approach to safety and a system in place for reporting and recording significant events. Events were discussed at practice meetings but discussions with some staff indicated that learning was not embedded.
Though the practice had systems to assess and address risks to patient safety, the practice fire risk assessment did not adequately mitigate against potential fire risks or adhere to the format outlined in their fire safety risk assessment. The practice had not completed criminal background checks for all staff in accordance with their recruitment policy.
Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
Information about how to complain was available only upon request from staff. However, we saw improvements were made to the quality of care as a result of complaints and concerns.
Health promotion leaflets and information on local services was available.
Patients we spoke with 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. Patient survey feedback suggested that patients would have to wait a long time to be seen when they arrived for their appointment though the practice had taken action in response to this feedback.
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 the requirements of the duty of candour.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
Ensure that risks relating to the health, safety and welfare of service users including those related to fire and staff recruitment are assessed and mitigated.
In addition the provider should:
Take steps to make the practice complaints procedure easily accessible to patients and provide formal written response to written complaints.
Review systems for the storage and monitoring of Patient Group Directions.
Continue to work on embedding learning from significant events
Continue to work on improving patient satisfaction regarding waiting times.
Consider recording multidisciplinary team and clinical meetings in a separate document in addition to within individual patient records.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Binfield Road Surgery on 7 March 2017. The practice was rated good overall and requires improvement for providing services that were safe. The full comprehensive report from the March 2017 inspection can be found by selecting the ‘all reports’ link for Binfield Road Surgery Medical Centre on our website at www.cqc.org.uk.
This inspection was an announced desk-based review carried out on 23 October 2017 to confirm that the practice had carried out their plan to meet the recommendations we made in our previous inspection on 7 March 2017. This report covers our findings in relation to those recommendations made at our last inspection.
At our previous inspection undertaken on 7 March 2017, we rated the practice as requires improvement for providing safe services as:
Two members of staff were acting as chaperones without having had a DBS check undertaken prior to employment.
The fire risk assessment did not provide a comprehensive assessment of fire risks in the practice.
In addition to the breaches of regulation we identified we also suggested areas where the provider should make improvements including:
Take steps to make the practice complaints procedure easily accessible to patients and provide formal written response to written complaints.
Review systems for the storage and monitoring of Patient Group Directions (PGD).
Continue to work on embedding learning from significant events.
Continue to work on improving patient satisfaction regarding waiting times.
Consider recording multidisciplinary team and clinical meetings in a separate document in addition to within individual patient records.
The practice is now rated as good for the key question: Are services safe?
Our key findings were as follows:
All staff had received a DBS check and a practice policy had been drafted which required all staff who undertook the chaperoning role to have a DBS check. In addition their recruitment policy had been updated to refer to the new DBS policy.
The practice had updated their internal fire risk assessment using Health and Safety Executive guidelines.
In addition:
The practice provided us with a complaint log of recent complaints although this did not indicate that formal written responses were sent to patients when they complained in writing. The practice provided a copy of the complaint poster used to advertise the complaints policy.
The practice provided copy of their PGD policy which placed the responsibility for ensuring PGDs were valid on the individual practitioner with signed copies of these being kept by the practice.
The practice provided an example of a recent significant event which demonstrated learning and action taken.
The practice continued to minute multidisciplinary discussions in patient records and kept a log of the patients discussed in each meeting in an effort to reduce the administrative burden on clinical staff.
No further action had been taken to assess whether there had been any improve patient satisfaction with appointment waiting times. The period where data had been collected for the most recent national GP patient survey results pre dated the action the practice had taken to improve satisfaction with waiting times.
Areas where the practice should make improvement:
Continue with action to assess the impact of this on patient satisfaction.
Consider employing someone with suitable expertise in fire safety to undertake a fire risk assessment.
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