Dr Patrick Morant - Care Quality Commission

Background to this inspection

Updated 31 May 2017

Dr Patrick Morant runs Sydenham Surgery, based in Lewisham, south London. The practice is housed in purpose-built premises, next to the railway line in Sydenham. There is no parking close to the practice but the area is well served by public transport.

The surgery is based in an area with a deprivation score of 4 out of 10 (1 being the most deprived), and has a higher level of income deprivation affecting older people and children than the national average. Compared to the average English GP practice, more patients are unemployed.

There are approximately 4032 patients at the practice. Compared to the England average, the practice has more young children as patients (age up to four) and fewer older children (age 10 – 19). There are more patients aged 20 – 49, and many more patients aged 25 – 34. There are fewer patients aged 50+ than at an average GP practice in England.

Three doctors work at the practice: two male and one female. Two of the GPs (one male and one female) are partners, and the other GP is employed as a long-term locum. Some of the GPs work part-time. Full time doctors work 8 sessions per week. The practice provides18 GP sessions per week. There is a female practice nurse who works six sessions per week.

The practice is open between 8.15am and 6.30pm Monday to Friday. Appointments are available with GPs from 8.40am to 11.40am and 4pm to 6.30pm Tuesday to Friday. On a Monday, appointments are available from 8.40am to 11.40am and 4pm until 7.30pm. Appointments are

available with a nurse on Monday 2.30pm to 7.30pm, Tuesday 9am to 12.30pm, Wednesday 3pm to 6pm, Thursday 9am to 12.30 and Friday 8.30am to 4.30pm. When the practice is closed cover is provided by SELDOC, a GP co-operative that runs out-of-hours care.

The practice offers NHS GP services under a Personal Medical Services contract in the Lewisham Clinical Commissioning Group area. The practice is registered with the CQC to provide surgical procedures, diagnostic and screening procedures, treatment of disease, disorder or injury and maternity and midwifery services.

Overall inspection

Good

Updated 31 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Patrick Morant on 17 August 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Patrick Morant on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 19 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 17 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

The practice had taken action on all of the areas identified at the last inspection.
Safety had improved. Staff had relevant training, and risks were well managed. There were arrangements to deal with emergencies and major incidents.
Performance on measures of care for people with diabetes had improved.
Quality improvement activity had increased.
The overall governance arrangements had improved, with stronger arrangements for managing risks, for managing training, and for ensuring policies (e.g. recruitment) were implemented consistently.

However, there were still some areas where the practice should continue to make improvements.

The provider should:

Continue to develop quality improvement activity, including audit to improve outcomes for patients with coronary heart disease.
Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them. Although the practice had taken some action in this area, only 18 carers had been identified (0.4% of the practice list).

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice