• Doctor
  • GP practice

The Consulting Rooms

Overall: Good read more about inspection ratings

Oxhey Drive, South Oxhey, Watford, Hertfordshire, WD19 7RU (020) 8428 2292

Provided and run by:
The Consulting Rooms

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about The Consulting Rooms 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 The Consulting Rooms, you can give feedback on this service.

20 August 2019

During an annual regulatory review

We reviewed the information available to us about The Consulting Rooms on 20 August 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

01/08/2019

During an inspection looking at part of the service

We carried out an announced comprehensive inspection at The Consulting Rooms, on 9 January 2017. The overall rating for the practice was good with the practice rated as requires improvement for being safe.

From the inspection on 9 January 2017, the practice was told they must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

This was because:

  • The practice manager was not registered to receive Medicines and Healthcare products Regulatory Agency (MHRA) alerts and did not have a process in place to monitor actions taken.
  • The practice did not have a nominated infection control lead nor had any practice led audits taken place in the previous 12 months.
  • Checking of emergency medicines was not always effective.

In addition, the practice was told they should:

  • Identify clearly to patients the availability of extended hours.
  • Ensure staff training records accurately reflected training staff had received.
  • Continue to develop the patient participation group (PPG) to ensure engagement with patients.

The full comprehensive report on the inspection carried out in January 2017 can be found by selecting the ‘all reports’ link for The Consulting Rooms on our website at www.cqc.org.uk 

This focused desktop inspection of The Consulting Rooms undertaken on 1 August 2019 was to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements.

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 and good for all population groups.

Our key findings were:

  • The practice had a safety alert protocol and procedure with nominated individuals identified for the management of safety alerts. There was a system for recording and acting on safety alerts.
  • An infection control policy was in place with designated leads. A practice wide infection control audit was evident with remedial actions taken as appropriate.
  • A policy for checking emergency medicines was in place. There was evidence that showed these were regularly checked.
  • Details of the availability of extended hours were provided in posters in the patient waiting area, and on the practice website.
  • Staff training was through an online provider. The online system allowed the practice to keep accurate records of training needed, undertaken and due.
  • There was an active patient participation group.

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

9 January 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Consulting Rooms on 9 January 2017. Overall the practice is rated as good.

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 for reporting and recording significant events.
  • The practice did not have an effective system to manage patient safety alerts.

  • Staff did not have current training in how to recognise signs of abuse in vulnerable adults and children.

  • The practice did not have a nominated infection control lead nor had any practice led audits taken place in the previous 12 months.

  • The governance framework did not ensure the practice undertook regular and comprehensive reviews of the quality of service.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Clinical audits demonstrated quality improvement.

  • 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.
  • Patients could make an appointment in advance with a named GP.
  • 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 provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

  • Review and consider processes concerning Medicines and Healthcare products Regulatory Agency (MHRA) alerts.

  • Review and consider infection control within the practice.

  • Review and consider audit processes of emergency medicines.

The areas where the provider should make improvement are:

  • Identify clearly to patients the availability of extended hours.

  • Ensure staff training records accurately reflect training staff had received.

  • Continue to develop the patient participation group (PPG) to ensure engagement with patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

25 June 2014

During an inspection looking at part of the service

When we inspected The Consulting Rooms on 19 December 2013, we found that people were not fully protected against the risks associated with unsafe treatment or care. Staff were not adequately trained and supported to carry out their roles effectively. The majority of staff had not completed most of their basic (mandatory) training or received an annual appraisal. There was little job specific training available to nurses and non-clinical staff and no system was in place at the practice to monitor the completion of staff training. We judged this to have a minor impact on people using the service.

We inspected the service again, to check improvements had been made. During this inspection, we found that the risks to patient care and treatment were minimised as staff received appropriate training and professional development.

Our conversations with staff and review of training documentation and staff files demonstrated that all staff had received or were scheduled to receive an annual appraisal by August 2014. We saw there was a system in place to monitor the completion of training and most staff were up to date with their basic (mandatory) training. We found that nurses attended relevant study days and clinical skills courses and the reception staff had received comprehensive training on the new computerised patient management system installed at the practice.

19 December 2013

During a routine inspection

We found the service to be welcoming with friendly staff. Information was displayed for people using the service, including health promotion, access to support services, information about the practice and other services available. There was a touch screen booking in facility in the reception area and appointments could be made on line using the practice website.

We spoke with eight people who all spoke highly of services provided to them. We also spoke with staff who said they enjoyed working in the practice and described some of the recent changes that had been made, which were viewed positively.

People's needs were assessed and care and treatment was planned and delivered in line with their individual needs. One person said, "The doctors are very nice. I've been seeing the same one for many years. Speaks for itself really."

We saw that there was a system to ensure repeat prescriptions were available promptly and medicines that were kept at the practice were stored safely.

Many of the staff had been employed for a number of years and were familiar with the practice. There was an electronic e-learning system in place to facilitate mandatory training, but this had not been fully implemented. Furthermore there was little evidence that staff underwent regular supervision or appraisal.

The practice had an electronic records system, which was used by all staff. Paper records received from other areas, when people changed practices were stored safely.