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Extended Access Clinic : Bermondsey Spa Medical Centre Good


Inspection carried out on 18 March 2019

During a routine inspection

This service is rated as Good overall.

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 an announced comprehensive inspection at on 27 March 2019 as part of our inspection programme.

At this inspection we found:

  • The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
  • The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated people with compassion, kindness, dignity and respect.
  • Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
  • 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:

  • Retain records related to staff induction for all staff.

  • Have oversight of risk management activities undertaken by third parties.
  • Advertise translation services.
  • Include contact details of the organisations patients can escalate

    complaints to in complaint response letters

  • Following guidance and best practice for the management of sharps waste
  • Include contact details for all staff in the service’s business continuity plan.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care