The Care Quality Commission
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  • Urgent care service or mobile doctor

Archived: Sutton Out-of-Hours GP Service by SELDOC-Urgent Care Centre - St Heliers Hospital

Overall: Good read more about inspection ratings

Urgent Care Centre, St Heliers Hospital, Wrythe Lane, Carshalton, Surrey, SM5 1AA

Provided and run by:
South East London Doctors Co Operative Limited

Important: This service is now registered at a different address - see new profile

All Inspections

21/05/2018 to 22/05/2018

During an inspection looking at part of the service

This service is rated as Good overall. The service was previously inspected by the CQC on 9 February 2017. At that inspection the rating for the service was requires improvement overall. This rating also applied to safe and well led. Effective, caring and responsive were rated as good.

The report stated where the service must make improvements:

  • Ensure that all staff are aware of safeguarding policies, are aware of how to make a referral and have undertaken relevant training.
  • Improve medicines management processes and audit the use of medicines.

The areas where the provider should make improvement are:

  • Review serious untoward event processes to ensure that no possible incidents have been missed.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out a focused inspection of the Sutton Out-of-Hours GP Service by SELDOC-Urgent Care Centre - St Heliers Hospital on 21 May (a visit of the hub centre) and 22 May 2018 (a visit of the main site). The focussed inspection was to check if areas within the safe and well led domains which were in breach of CQC regulations were now resolved

At this inspection we found:

  • Cars used by the service had Oxygen and an Automatic External Defibrillator available for use.
  • The service utilised prescriptions where GPs provided medicines to patients directly in line with guidance.
  • The service had implemented new systems for how medicines were supplied to the site. Stocks were monitored and relevant medicines were available.
  • Medicines audits had been completed and the service showed improved antibiotic prescribing following audits.
  • Staff were aware of safeguarding referrals and significant events and both had been raised in the past year.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

9 February 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Sutton Out-of-Hours GP Service by SELDOC-Urgent Care Centre - St Heliers Hospital on 9 February 2016. Overall the service is rated as requires improvement.

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 recording, reporting and learning from significant events, although there had been none reported in the last 12 months.
  • The service had made no safeguarding referrals in the last 12 months despite issues having been raised. Some staff had not been trained in safeguarding.
  • The service could not show how medicines had been audited in the previous eight months.
  • Patients’ care needs were assessed and delivered in a timely way according to need. The service met the National Quality Requirements.
  • 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.
  • There was a system in place that enabled staff access to patient records, and the out of hours staff provided other services, for example the local GPs and hospital, with information following contact with patients as was appropriate.
  • 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.
  • The service worked proactively with other organisations and providers to develop services that supported alternatives to hospital admission where appropriate and improved the patient experience.
  • The service had good facilities and was well equipped to treat patients and meet their needs. The vehicles used for home visits were clean and well equipped.
  • There was a clear leadership structure and staff felt supported by management. The service 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.

The areas where the provider must make improvement are:

  • Develop effective systems and processes to ensure safe care and treatment including ensuring that all staff are aware of safeguarding policies, are aware of how to make a referral and have undertaken relevant training, and improving medicines management processes and audit the use of medicines.

  • Develop governance systems to monitor that safe care is being delivered.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice