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Inspection Summary


Overall summary & rating

Good

Updated 28 January 2019

We carried out an announced comprehensive inspection at The Lordship Lane Surgery on 12 December 2018 as part of our inspection programme.

At the last inspection in March 2018 we rated the practice as requires improvement for providing safe services because:

  • The risk assessment the practice had completed was light on detail and did not cover all areas of potential risk.
  • The practice’s processes for monitoring uncollected prescriptions were unclear.
  • The practice had not adhered to Public Health England’s protocols on storage of vaccines.

At this inspection, we found that the provider had satisfactorily addressed these areas.

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.

We found that:

  • 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.
  • 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 way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Consider undertaking a security/premises risk assessment.
  • Review accessibility of information leaflets in other languages and in easy to read format.
  • Review signage for displaying what to do in the event of a fire.
  • Review ways to improve the uptake for cervical screening, breast and bowel cancer screening.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Inspection areas
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good