The Care Quality Commission
  • Doctor
  • GP practice

Sangam Surgery

Overall: Good read more about inspection ratings

1 Toronto Avenue, London, E12 5JF (020) 8911 8378

Provided and run by:
Sangam Surgery

Important: This service was previously registered at a different address - 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 Sangam Surgery 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 Sangam Surgery, you can give feedback on this service.

During an assessment under our new approach

We carried out an announced assessment of one quality statement, equity of access, under the key question Responsive on the 7 March 2024 at Sangam Surgery. We carried out the assessment as part of our work to understand how GP practices are working to try to meet peoples demands 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 staff are carrying this out whilst the demand for general practice remains exceptionally high, with more appointments being provided than ever. However, 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. The assessment of the quality statement equity of access includes looking at what GP practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement. The responsive key question remains rated as good. The service remains rated as good overall. At this assessment we found: People could access services when they need to, without physical or digital barriers, including out of normal hours and in an emergency. The surgery provided opportunities and support for different groups of the patient population to overcome health inequalities. The surgery understood the challenges to patient access and responded to patient needs. The leaders monitored and responded to patient feedback.

22 March 2022

During a routine inspection

We carried out an announced inspection at Sangam Surgery on 22 March 2022. Overall, the practice is rated as Good:

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Following our previous inspection on 7 February 2020, the practice was rated requires improvement overall (requires improvement for the key questions of safe and effective, good for the key questions of caring and responsive, and inadequate for the key question of well-led):

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

Why we carried out this inspection

This inspection was a comprehensive inspection to follow up on:

  • Safety, including significant events follow up, recruitment, infection control, and elements of prescriptions management.
  • Effective arrangements for staff induction, appraisal and training.
  • Leadership and management to ensure effective systems for accountability and governance; such as systems to assess, monitor and improve standards of quality and safety, and identify and manage risks.
  • This was a full comprehensive inspection that also included our inspection of the caring and responsive key questions.

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 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.
  • 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.
  • Patients received effective care and treatment that met their needs although some clinical performance data was below targets such as cancer screening and childhood immunisations.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • 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:

  • Continue to monitor and improve some areas of clinical performance such uptake rates for cancer screening, childhood immunisations, and the repeat prescribing of ACE Inhibitors.

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