• Doctor
  • GP practice

Stuart Crescent Health Centre

Overall: Good read more about inspection ratings

8 Stuart Crescent, London, N22 5NJ (020) 8889 1115

Provided and run by:
Stuart Crescent Health Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Stuart Crescent Health Centre 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 Stuart Crescent Health Centre, you can give feedback on this service.

19 September 2019

During an annual regulatory review

We reviewed the information available to us about Stuart Crescent Health Centre on 19 September 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.

17 May 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 Stuart Crescent Health Centre on 5 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Stuart Crescent Health Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17 May 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 5 September 2017. 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:

  • Fridge temperatures were being accurately recorded and there was a designated member of staff to check temperatures in the absence of the nurse.

  • Patient Group Directions (PGDs) were signed and up to date so nurses could administer medicines in line with legislation.

  • All emergency equipment was in date and there was a log to check expiry dates.

  • Patient records were appropriately completed in respect of childhood immunisations.

  • A system was in place to effectively monitor latest guidelines (NICE, MHRA) and new guidelines were discussed in practice meetings.

  • A log of prescription pads was held and pads were kept secure.

  • Carers had been identified and coded onto the practice system. Twenty five patients had been identified as carers (less than 1% of practice list) The practice was looking at ways to further provide support to them.

  • The practice had looked into ways to improve cervical screening results, including text message reminders. The practice had achieved 78% for the cervical screening programme in 2016 compared to 71% in the previous year.

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

The provider should:

  • Continue to review how it identifies patients with caring responsibilities to ensure information, advice and support is available to all.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

5 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stuart Crescent Health Centre on 5 September 2016. Overall the practice is rated as requires improvement.

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

  • Patients were at risk of harm because some systems and processes were not implemented effectively enough to keep people safe. For example, fridge temperatures were not effectively recorded, prescription pads not effectively monitored and emergency medicines were not appropriately logged and some were found to be out of date.
  • Some Patient Group Directions (PGDs) were found to be either out of date or not appropriately signed.
  • Patient records were not fully completed after child immunisations.
  • There were no formal systems for identifying new guidance and medicines alerts.
  • Data showed patient outcomes were comparable to the national average. Some audits had been carried out, and we saw evidence that one audit was a two cycle audit and was driving improvements to patient outcomes.
  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Reviews and investigations were undertaken and patients received an apology when things went wrong.
  • Patients said they were treated with compassion, dignity and respect.
  • Information about services was available in a way that everybody would be able to understand or access it.
  • The practice had a number of policies and procedures to govern activity.

The areas where the provider must make improvements are:

  • Ensure all PGDs are available and up to date, appropriately signed and that the most current immunisation schedules are implemented.

  • Ensure patient electronic records are fully completed for childhood immunisations.

  • Ensure that effective systems are put in place to monitor medicines alerts and the latest clinical guidance.

  • Ensure fridge temperatures are accurately recorded and that staff are trained to manage the fridge in the absence of the nurse.

Ensure all medicines and equipment is up to date in the emergency medicines and doctors’ bags and produce a log of these which includes expiry dates.

In addition the provider should:

  • Develop a system to ensure that prescription pads and scripts are monitored.

  • To review how patients with caring responsibilities are identified and recorded on the patient record system to ensure information, advice and support is made available to all.

  • look at ways to improve the number of patients attending for cervical screening.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

15 January 2014

During a routine inspection

The practice is located in Stuart Crescent Health Centre, which also contains a number of other services. It has a shared waiting room.

When we visited the surgery we spoke with three patients and seven members of staff, including the doctors, the practice nurse, and the practice manager. All the patients were positive about the surgery and the experience of care they had received. We received the following comments from them:

'I've never had any complaints.'

'It is good here. The doctor is good.'

'No problem with it.'

We found that people's privacy, dignity and independence were respected. Patients told us they felt respected by the doctors and their privacy was respected.

People experienced care, treatment and support that met their needs and protected their rights.

People were cared for in a clean, hygienic environment. The surgery was clean and there were systems in place to manage infection control risks.

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

The provider had system to regularly assess and monitor the quality of service that people receive. The use of information could be further developed to ensure all learning points were identified.