The Care Quality Commission
  • Doctor
  • GP practice

Fulham Cross Medical Centre

Overall: Good read more about inspection ratings

322 Lillie Road, London, SW6 7PP (020) 7385 1964

Provided and run by:
Fulham Cross Medical Centre

Important: The provider of this service changed - see old profile

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Fulham Cross Medical Centre 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 Fulham Cross Medical Centre, you can give feedback on this service.

29 April 2021

During an inspection looking at part of the service

We carried out an announced inspection at Fulham Cross Medical Centre from 27 - 29 April 2021. This included a site visit on 29 April 2021. Overall, the practice is rated as Good.

Safe - Good

Effective – Requires improvement

Well-led - Good

Following our previous inspection on 13 November 2020, the practice was rated Requires improvement overall. It was rated Requires improvement for the key questions: Are services effective and Are services well-led? The remaining key questions were rated Good. The service was also found to be in breach of regulation 17 Good governance and issued with a warning notice for the poor quality of its clinical record-keeping.

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

Why we carried out this inspection

This inspection was a focused inspection to follow up on:

  • Are services safe?
  • Are services effective?
  • Are services well led?

We also followed-up on the breach of regulation 17 in relation to poor clinical record keeping. The practice was previously rated Good for the key questions: Are services caring? and Are services responsive? These key questions were not reviewed at this inspection and the previous ratings (Good) have been carried forward.

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.

The practice is rated as Good for providing safe and well-led services. The practice is rated as Requires improvement for providing effective services.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The practice had improved the quality of clinical record keeping since our previous inspection.
  • Patients received effective care and treatment that met their needs. However, some areas of performance remained lower than average and below target, notably cancer screening and childhood immunisation uptake rates. The practice had developed an action plan and was in the process of implementing this.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

We found no breaches of regulations.

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

  • Take effective action to improve mental health care planning and cancer screening and childhood immunisation uptake rates.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

13/11/20

During a routine inspection

We carried out an announced, comprehensive inspection at Fulham Cross Medical Centre on 13 November 2020 as part of our inspection programme. We are mindful of the impact of COVID-19 pandemic on our regulatory function. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

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 requires improvement overall.

We rated the practice as requires improvement for providing well-led services because:

  • The practice did not have effective processes for managing risks, issues and performance. Consultation notes were not sufficiently detailed and did not ensure that patients were adequately safety netted. This concern was raised at the previous inspection in January 2020 and the practice had failed to resolve it.

We rated the practice as requires improvement for providing effective services because:

  • Safety netting and/or follow ups for patients were not always recorded in consultation records.
  • Some performance data was not quite meeting the local or national averages. However, overall the practice had improved its data since the last inspection.

We rated the practice as requires improvement for providing services to two of the population groups because relevant performance data was not quite meeting local and national averages for these groups:

  • Families, Children and Young People
  • Working Age People (including those recently retired and students)

We rated the practice as good for providing safe, caring and responsive services. This was because:

  • The practice was providing care in a way that kept patients safe and protected them from avoidable harm.
  • Patients and staff told us they appreciated the positive atmosphere and supportive team the practice management team implemented.
  • Staff were supported with competency checks and appraisals to ensure that all staff have appropriate skills.
  • The practice management team were working hard to drive improvements for patients and staff alike.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

We also rated the practice as good for providing services to the following population groups:

  • Older people
  • People whose circumstances make them vulnerable
  • People with long-term conditions
  • People experiencing poor mental health (including people with dementia)

The areas where the provider must make improvements are:

  • Ensure that all consultation notes are audited and reviewed so that the practice can be certain that records are sufficiently detailed and provide adequate safety netting for patients.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Please refer to the detailed report and the evidence tables for further information.

30 January 2020

During a routine inspection

We carried out an announced, comprehensive inspection at Fulham Cross Medical Centre on 30 January 2020 as part of our inspection programme. This inspection focused on the following key questions:

  • Is the service safe?
  • Is the service effective?
  • Is the service caring?
  • Is the service responsive?
  • Is the service well-led?

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 requires improvement overall.

We rated the practice as inadequate for providing effective services because:

  • Some performance data was significantly below local and national averages.
  • The practice was unable to show that staff had the skills, knowledge and experience to carry out their roles.

We rated the practice as inadequate for providing services to four of the population groups because relevant performance data was significantly below local and national averages for these groups:

  • People with long-term conditions
  • Families, children and young people
  • Working age people (including those recently retired and students)
  • People experiencing poor mental health (including people with dementia)

We rated the practice as requires improvement for providing well-led services because:

  • The practice did not have clear and effective processes for managing risks, issues and performance.

We rated the practice as good for providing safe, caring and responsive services. This was because:

  • The practice was providing care in a way that kept patients safe and protected them from avoidable harm.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

We also rated the practice as good for providing services to the following population groups:

  • Older people
  • People whose circumstances make them vulnerable

The areas where the provider must make improvements are:

  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Make sure that all staff, including locum staff, are aware of the current safeguarding leads to avoid the risk of delay should a safeguarding concern need to be escalated.
  • Review relevant policies to ensure these take account of the particular risks associated with delivering online services.

(Please see the specific details on action required at the end of this report).

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care