• Doctor
  • GP practice

Archived: Cornwall House Surgery

Overall: Good read more about inspection ratings

Cornwall Avenue, London, N3 1LD (020) 8346 1976

Provided and run by:
Cornwall House Surgery

Important: The provider of this service changed. See new profile

Latest inspection summary

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Background to this inspection

Updated 17 April 2019

Cornwall House Surgery is located in Finchley in the London Borough of Barnet. The practice holds a General Medical Services contract (an agreement between NHS England and general practices for delivering general medical services). The practice provides enhanced services for example, adult and child immunisations, extended hours and facilitating timely diagnosis and support for people with Dementia.

The practice is registered with the Care Quality Commission to carry on the regulated activities of Treatment of disease, disorder or injury; Diagnostic and screening procedures, family planning; Maternity and midwifery services.

The practice has approximately 6,800 registered patients at the time of our inspection.

The staff team at the practice includes two full time partner GP’s (one male and one female). The practice clinical team also includes two part time salaried GP’s (female) working 9 clinical sessions a week, and one part time practice nurse (female), and one health care assistant (female). The practice has thirteen staff in its administrative team; including a practice manager and finance manager. All staff work a mix of full time and part time hours. The practice is an approved training practice for GP’s.

The practice’s opening hours are:

Monday 8.30am – 6.30pm (Extended hours offered between

7am-8am – GP and Nurse led)

Tuesday 8.30am – 6.30pm

Wednesday 8.30am – 1.00pm (Extended hours offered with a nurse practitioner between 7am-8am – Nurse led)

Thursday 8.30am – 6.30pm

Friday 8.30am – 6.30pm

Saturday Closed

Sunday Closed

Urgent appointments are available each day and GPs also complete telephone consultations for patients. In addition, the practice is a participant of the Pan Barnet federated GP’s network a federation of local Barnet GP practice’s which was set up locally to provide appointments for patients at eight local hub practice’s between 8am and 8pm; providing additional access out of hours. There is also an-out of hour’s service provided to cover the practice when it is closed. If patients call the practice when it is closed, an answerphone message gives the telephone number they should ring depending on their circumstances. Information on the out-of-hours service is provided to patients on the practice leaflet as well as through posters and leaflets available at the practice.

The practice’s percentage of people with a long standing health conditions is below the national average (39% compared to 51%). At 83 years, male life expectancy is above than the England average of 79 years. At 85 years, female life expectancy is above the England average of 83 years

Overall inspection

Good

Updated 17 April 2019

This practice is rated as Good overall. (Previous rating 15 June 2016– Good).

At our previous inspection we rated the service as requires improvement for providing effective care (because of a lack of clinical audit) and rated it as good overall and good for providing safe, caring, responsive and well-led services.

The key questions at this inspection are rated as:

Are services safe? – Requires Improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at Cornwall House Surgery on 7 February 2019 as part of our inspection programme.

At this inspection we found:

•Action had been take since our last inspection, such that clinical audit was now being used to drive improvements in patient outcomes.

•When incidents happened, the practice learned from them and improved their processes.

•The practice routinely reviewed the effectiveness and appropriateness of the care it provided.

•The practice’s GP patient survey feedback regarding phone access was lower than the national average but action had been taken action to improve performance.

•The practice did not have a protocol in place to ensure repeat prescriptions were promptly collected although when this was highlighted, prompt action was taken to introduce such a protocol.

•Although Patient Specific Directions documents were kept on file (providing the practice’s Health Care Assistant with dosage and patient assessment information) these were only being reviewed and signed by a doctor after the practice’s Health Care Assistant had administered medication. When this was highlighted, the practice immediately amended its protocol.

•Staff involved and treated patients with compassion, kindness, dignity and respect.

•There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

•Take action to improve cervical screening uptake.

•Monitor recently introduced actions aimed at improving telephone access.

•Further develop patient participation in how the service is delivered.

•Monitor recent actions aimed at improving how uncollected prescriptions are managed.

•Take action to ensure periodic fire drills take place.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care