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Stockwell Lodge Medical Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 December 2019

We carried out an announced comprehensive inspection at Stockwell Lodge Medical Centre on 28 August 2018. Overall the practice was rated as requires improvement and requirement notices were issued.

The report from our inspection in August 2018 can be found by selecting the ‘all reports’ link for Stockwell Lodge Medical Centre on our website at www.cqc.org.uk.

We carried out an announced comprehensive inspection at Stockwell Lodge Medical Centre on 16 October 2019. This inspection was undertaken to follow up requirement notices we issued to the provider. We found the practice had complied with the requirement notices in all but one area.

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 requires improvement overall and requires improvement overall for the population groups.

We rated the practice as requires improvement for the families, children and young people, population group because:

  • Data showed a steady decline in uptake rates for all four childhood immunisation indicators.

We rated the practice as requires improvement for people with long term conditions because:

  • Data from the Quality and Outcomes Framework 2018/2019 showed performance for care provided to patients with diabetes was lower than local and national averages.

We rated the practice as requires improvement for working age people (including those recently retired and student) because:

  • Uptake for cervical screening had declined, rates were below targets and national averages.

We rated the practice as requires improvement for providing safe services because:

  • The practice did not have clear systems and processes to keep patients safe in some cases.
  • The practice did not have appropriate systems in place for the safe management of emergency medicines.

We rated the practice as requires improvement for providing effective services because:

  • Patients did not always receive effective care and treatment that met their needs.

We rated the practice as requires improvement for providing caring and responsive services, including the population groups, because:

  • The results from the latest National GP Patient Survey showed performance was significantly lower than local and national averages.

We rated the practice as requires improvement for providing well-led services because:

  • While the practice had made some improvements since our inspection on 28 August 2018, it had not appropriately addressed the requirement notice in relation to ensuring all staff members completed appropriate training relevant to their role.
  • Structures, processes and systems to support good governance and management were not clearly set out, understood and effective in some areas.

The areas where the provider must make improvements as they are in breach of a regulation are:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Please see the final section of this report for specific details of the action we require the provider to take.

The areas where the provider should make improvements are:

  • Continue to take steps to improve uptake of child immunisations and women attending for their cervical screening.
  • Continue to review and take steps to improve performance in relation to National GP Patient Survey results.

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

Inspection areas

Safe

Requires improvement

Effective

Requires improvement

Caring

Requires improvement

Responsive

Requires improvement

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement