The Care Quality Commission
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  • GP practice

Selsdon Park Medical Practice

Overall: Good read more about inspection ratings

97 Addington Road, Selsdon, South Croydon, Surrey, CR2 8LG (020) 8657 0067

Provided and run by:
Selsdon Park Medical Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Selsdon Park Medical Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Selsdon Park Medical Practice, you can give feedback on this service.

12 December 2023

During an inspection looking at part of the service

We carried out an announced focused assessment at Selsdon Park Medical Practice on 12 December 2023. Overall, the practice is rated as good.

Safe - not inspected, rating of good carried forward from previous inspection

Effective - not inspected, rating of good carried forward from previous inspection

Caring - not inspected, rating of good carried forward from previous inspection

Responsive – good

Well-led - not inspected, rating of good carried forward from previous inspection

Following our previous inspection on 28 and 29 September 2022 the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Selsdon Park Medical Practice on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this assessment as part of our work to understand how practices are working to try to meet demand for access and to better understand the experiences of people who use services and providers.

We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.

How we carried out the review

This assessment was carried out remotely. It did not include a site visit.

The process included:

• Conducting an interview with the provider and members of staff using video conferencing.

• Reviewing patient feedback from a range of sources

• Requesting evidence from the provider.

• Reviewing data we hold about the service

• Seeking information/feedback from relevant stakeholders

Our findings

We based our judgement of the responsive key question on a combination of:

• what we found when we met with the provider

• information from our ongoing monitoring of data about services and

• information from the provider, patients, the public and other organisations.

We found that:

• The practice had performed above national averages in all of the indicators regarding access.

• The practice had a significant positive variation regarding patient satisfaction with access to the practice by phone, a significant positive variation regarding patient satisfaction with appointment times and a positive variation regarding the overall experience of making an appointment. The practice had indicators that were comparable in data terms, but still higher than the national average regarding satisfaction with the appointment offered.

• During the assessment process, the provider highlighted the actions they have taken to make improvements to the responsiveness of the service for their patient population. They also identified the areas to be put in place to continue this improvement, including a cloud based telephony system.

• The practice worked collaboratively with its primary care network to ensure additional types

of appointments and extended hours were available.

• The practice dealt with complaints in a timely manner and learned from them.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

28 Sep 2022, 29 Sep 2022

During a routine inspection

We carried out an announced comprehensive inspection at Selsdon Park Medical Practice on 29 September 2022 and at Mitchley Avenue Surgery (branch) on 28 September 2022 and a remote clinical review on 27 September 2022 as part of our inspection programme. Overall, the practice is rated as Good.

Safe - Good

Effective – Good

Caring – Good

Responsive - Good

Well-led - Good

This inspection was carried out following a merger of Selsdon Park Medical Practice and Mitchley Avenue Surgery in July 2022. During our previous inspection of Mitchley Avenue Surgery on 27 May 2021 (under the previous provider) the practice was rated as Required Improvement overall (inadequate in safe, and requires improvement in well-led) for issues in relation to safeguarding, safety system and records, infection prevention and control, medicines management, management of patients with long-term conditions and quality improvement. In this inspection, we found that the provider had addressed these issues.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Selsdon Park Medical Practice on our website at www.cqc.org.uk

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Recruitment checks were carried out in accordance to practice policies and staff immunisation records were maintained according to guidance.
  • Infection control issues were identified and addressed in a timely manner.
  • Patients received effective care and treatment that met their needs.
  • The national GP Patient survey indicators were above average. Selsdon Park Medical Practice was rated as the best GP surgery in London in July 2022 according to patients in a national survey of 1172 GP surgeries in London.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic.
  • 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.

Whilst we found no breaches of regulations, the provider should:

  • Undertake structured medicines reviews for patients on repeat medicines.
  • Effectively monitor expiry dates of vaccines.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services and Integrated Care

5 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 5 July 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients 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.
  • 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 and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

  • The practice had introduced a series of weekly audits of antibiotic prescribing for individual GPs in order to identify good practice and to challenge one another to carefully consider all prescriptions. This led to the introduction of a clinical template used during consultations containing the most recent NICE guidance. Evidence indicated a week on week decrease in prescribing.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice