Chadwell Heath Surgery in Chadwell Heath, Romford is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, services for everyone and treatment of disease, disorder or injury. The last inspection date here was 11th December 2017
Chadwell Heath Surgery is managed by Chadwell Heath Surgery.
Contact Details:
Address:
Chadwell Heath Surgery 72 Chadwell Heath Lane Chadwell Heath Romford RM6 4AF United Kingdom
Telephone:
02085861430
Ratings:
For a guide to the ratings, click here.
Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good
Further Details:
Important Dates:
Last Inspection
2017-12-11
Last Published
2017-12-11
Local Authority:
Redbridge
Link to this page:
Inspection Reports:
Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Chadwell Heath Surgery on 11 August 2016. The overall rating for the practice was requires improvement.
We found breaches of the legal requirements and as a result we issued requirement notices in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014 - Good Governance, where the provider had not ensured that:
they had assessed, monitored and mitigated the risks to the health and safety of service users in respect of the proper and safe management of prescriptions;
they had effective and sustainable governance systems and processes in place to assess, monitor and improve the quality and safety of the services provided, including appropriate safeguarding policies and procedures.
and Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) 2014 - Staffing, where the provider had not ensured that:
persons employed had received appropriate training as was necessary to enable them to carry out their duties.
We also issued an Enforcement Notice in relation to Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment, where the provider had not:
fully assessed the risks to the health and safety of service users receiving care and treatment or taken steps to mitigate such risks;
ensured that persons providing the care or treatment to service users had the qualifications, competence skills and experience to do so safely;
had not ensured that the premises used were safe for their intended purpose and used in a safe way;
had not assessed the risk of, and preventing, detecting and controlling the spread of infections.
The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Chadwell Heath Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 19 October 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 11 August 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:
Patients said they were treated with kindness, dignity and respect and they were involved in their care and decisions about their treatment.
All safeguarding policies had been updated and staff trained to the appropriate levels.
The significant event recording process had been overhauled with new protocols and forms in place.
Information about services and how to complain was available and improvements had been made to the quality of care and access to services as a result of complaints and concerns being analysed.
Medicines management policies, specifically as regards monitoring of uncollected prescriptions had been improved.
Data from the national GP patient survey published in July 2017 showed patients rated the practice in line with others for most aspects of care.
Information about the availability of chaperones was evident throught the practice.
Signs were in the waiting room informing patients of the availability of a hearing loop and translation facilities.
There was a clear leadership structure in place and staff felt supported by the management team. The practice responded positively to feedback from staff and patients.
Effective systems were in place for identifying and assessing the risks to the health and safety of patients and staff.
A revised recruiting procedure, training policy and full recruitment checks were now in place.
Patients found it easy to make an appointment, with urgent appointments available the same day.
Governance arrangements had improved. There was effective clinical leadership in place and staff were aware of their roles and responsibilities.
The practice was well equipped to treat patients and meet their needs.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Chadwell Heath Surgery on 11 August 2016. The overall rating for the practice was requires improvement.
We found breaches of the legal requirements and as a result we issued requirement notices in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014 - Good Governance, where the provider had not ensured that:
they had assessed, monitored and mitigated the risks to the health and safety of service users in respect of the proper and safe management of prescriptions;
they had effective and sustainable governance systems and processes in place to assess, monitor and improve the quality and safety of the services provided, including appropriate safeguarding policies and procedures.
and Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) 2014 - Staffing, where the provider had not ensured that:
persons employed had received appropriate training as was necessary to enable them to carry out their duties.
We also issued an Enforcement Notice in relation to Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment, where the provider had not:
fully assessed the risks to the health and safety of service users receiving care and treatment or taken steps to mitigate such risks;
ensured that persons providing the care or treatment to service users had the qualifications, competence skills and experience to do so safely;
had not ensured that the premises used were safe for their intended purpose and used in a safe way;
had not assessed the risk of, and preventing, detecting and controlling the spread of infections.
The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Chadwell Heath Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 19 October 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 11 August 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:
Patients said they were treated with kindness, dignity and respect and they were involved in their care and decisions about their treatment.
All safeguarding policies had been updated and staff trained to the appropriate levels.
The significant event recording process had been overhauled with new protocols and forms in place.
Information about services and how to complain was available and improvements had been made to the quality of care and access to services as a result of complaints and concerns being analysed.
Medicines management policies, specifically as regards monitoring of uncollected prescriptions had been improved.
Data from the national GP patient survey published in July 2017 showed patients rated the practice in line with others for most aspects of care.
Information about the availability of chaperones was evident throught the practice.
Signs were in the waiting room informing patients of the availability of a hearing loop and translation facilities.
There was a clear leadership structure in place and staff felt supported by the management team. The practice responded positively to feedback from staff and patients.
Effective systems were in place for identifying and assessing the risks to the health and safety of patients and staff.
A revised recruiting procedure, training policy and full recruitment checks were now in place.
Patients found it easy to make an appointment, with urgent appointments available the same day.
Governance arrangements had improved. There was effective clinical leadership in place and staff were aware of their roles and responsibilities.
The practice was well equipped to treat patients and meet their needs.
©2019 Care Services, all rights reserved. No part of this website may be reproduced without permission of the copyright holders.
