• Doctor
  • GP practice

Dr Telesilla Gueret Wardle Also known as The Christchurch Hall Surgery

Overall: Good read more about inspection ratings

Christchurch Hall Surgery, 20 Edison Road, London, N8 8AE (020) 8340 2877

Provided and run by:
Dr Telesilla Gueret Wardle

All Inspections

During an assessment under our new approach

Date of Assessment: 5th August 2026.

The Christchurch Hall Surgery is a general practice in Haringey operated by the registered provider Dr Telesilla Gueret Wardle. It delivers services to approximately 2,800 people under a contract held with NHS England. It is part of the Haringey South West Primary Care Network, working closely with 3 other local GP services. Haringey is one of 13 boroughs covered by the NHS West and North London Integrated Care Board (ICB).

According to the latest available data, the ethnic make-up of the practice area is approximately 68% White, 10% Black, 7% Asian, 7% Mixed, and 7% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the practice population group is in the 6th decile (6th of 10). The higher the decile, the less deprived the local population is relative to others.

We last inspected and rated the practice under a previous methodology in August 2017. The overall rating for the practice was Good, as were the ratings for the five key questions, Safe, Effective, Caring, Responsive and Well-led.

We carried out this assessment using our new methodology as part of our Return to Good and Outstanding inspection programme, due to the length of time since our last assessment. The assessment focused on 10 of 34 quality statements across all 5 key questions. This assessment considered the demographics of the people using the service, the context the practice was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report. We have again rated the overall service and the 5 key questions as Good.

SAFE Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. There were enough staff with the right skills, qualifications and experience.

EFFECTIVE Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.

CARING Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.

RESPONSIVE People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.

WELL-LED The practice had a clear vision and strategy, which considered the needs of the people who used its service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.

9 August 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Telesilla Gueret Wardle on 15 November 2016. The overall rating for the practice was good. However the practice was rated as requires improvement for providing an effective service as no two cycle clinical audits had been completed. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Dr Telesilla Gueret Wardle on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 9 August 2017 to confirm that the practice had carried out their plan to meet the areas for improvement identified in our previous inspection on 15 November 2016. This report covers our findings in relation to the progress made since our last inspection.

.

Overall the practice is rated as good.

Our key findings were as follows:

  • The practice has now begun to undertake two cycle clinical audit but these were yet to be completed.

  • Carers were appropriately identified and support was being provided.

  • Portable appliance testing (PAT) had been carried out.

    However, there were also areas of practice where the provider needs to make improvements.

The provider should:

  • To continue to review and conduct clinical audit cycles for patient quality assurance.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

15 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at DR Telesilla Gueret Wardle (Christchurch Hall Surgery) on 15 November 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

  • The practice did not have access to a defibrillator (AED – a portable electronic device that analyses life threatening irregularities of the heart including ventricular fibrillation and is able to deliver an electronic shock to attempt to restore a normal heart rhythm.) not had risk assessed the need for one on the premises. Following the inspection the practice provided evidence of the purchase of a defibrillator.

  • We saw no evidence that audits were driving improvements to patient outcomes.

  • There was no evidence of a log of cleaning of clinical equipment such as spirometer and ear irrigator. Following the inspection, evidence was provided of the formalisation of an equipment cleaning system (previously undertaken informally by the nurse and healthcare assistant) with evidence of cleaning logs.

  • No PAT testing had been undertaken. However following the inspection the practice provided evidence that the test had been booked. No date has been currently set for the test.

  • Emergency medicines were easily accessible to staff in a secure area of the practice and all staff know of their location. Not all the required medicines were present at the time of the inspection however the medicines that we checked were in date and stored securely. Following the inspection the practice provided evidence of the purchase of the remaining medicines needed for any emergency.

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • 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.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and 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.

  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

  • The provider was aware of and complied with the requirement of the duty of candour.

In addition the provider should:

  • Carry out clinical audits and re-audits to improve patient outcomes.

  • Look at ways to identify more carers in order to provide support.

  • Ensure portable electrical appliance (PAT) testing is undertaken.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice