Archived: City Road Medical Centre

We carried out an announced focussed follow-up inspection at Islington Community Ear Nose and Throat Clinic at City Road Medical Centre on 31 January 2020 as part of our inspection programme.

At this inspection we followed up on breaches of regulations identified at our previous inspection on 15 March 2019.

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.

We found:

• The service was recording the immunisation status of clinical staff.
• Fire drills had taken place on days when the service was not present. However, after our inspection staff had participated in a fire drill arranged for a day they were in attendance.
• The service had made patient leaflets available in an easy read format for the benefits of patients with sight issues.
• The service had made information about how to complain available on its website.
• 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.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

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

We carried out an announced comprehensive inspection at City Road Medical Centre on 15 March 2019 as part of our inspection programme.

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 found that:

• The service staff did not ensure that staff commencing employment with the service underwent an induction programme.
• Patients received effective care and treatment that met their needs.
• 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.
• The overall governance arrangements required improvement.
• It had not ensured that all staff who needed one were supported by a programme of annual appraisals.

The areas where the provider must make improvements are:

• Ensure care and treatment is provided in a safe way to patients.
• 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 the 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:

• Review the current system for reviewing staff immunisation status so an up to date record is kept.
• Carry out regular fire drills to mitigate the risks associated with a fire.
• Make service leaflets available in other languages and in an easy read format for the benefit of patients who would otherwise experience difficulty in reading leaflets.
• Enable patients to access information about how to make a complaint on the service website.

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