The Care Quality Commission
  • Doctor
  • GP practice

Archived: R Isaacson - The Surgery Also known as Dr R Isaacson & Partners

Overall: Good read more about inspection ratings

192 Colney Hatch Lane, Muswell Hill, London, N10 1ET (020) 8883 5555

Provided and run by:
R Isaacson - The Surgery

Important: The provider of this service changed. See new profile

All Inspections

27 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at R Isaacson - The Surgery on 27 September 2016. 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 a system in place for reporting and recording significant events.
  • There were systems and processes to assess and manage risks to patients, however arrangements for the repeat prescribing of high risk medicines were not embedded.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they were able to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • 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 practice proactively sought feedback from staff and patients, which it acted on.

The areas where the provider must make improvement are:

  • Ensure high risk medicines are prescribed in line with the repeat prescribing protocol to maximise medication safety.

The areas where the provider should make improvement are:

  • While the provider demonstrated a commitment to being open and transparent there was no written procedure in place for identifying and handling notifiable safety incidents under the duty of candour.

  • The provider did not keep a record of the action it had taken in response to patient safety alerts relevant to the practice.

  • Consider further ways of meeting the needs of patients with Depression given the comparatively high exception reporting rate in this clinical domain.
  • Staff demonstrated understanding of the consent and decision-making requirements of the Mental Capacity Act 2005, however they had not received formal training.
  • All the GPs who worked regularly at the practice were male and there was no protocol in place for a patient to see a female GP if they requested this.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18 August 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at R Isaacson – The Surgery on 18 August 2015. Overall the practice is rated as requires improvement.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed, with the exception of those relating to medical emergencies.
  • Data showed patient outcomes overall were average for the locality. Services were being developed to improve outcomes in certain areas where necessary, for example for patients with diabetes, however completed clinical audit cycles were not being used to drive improvement in performance to improve patient outcomes.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies, procedures and protocols to govern activity and most of these had been reviewed and updated in recent months. There were regular practice meetings to involve all staff in the operation of the practice.
  • The practice had proactively sought feedback from staff and patients.

The areas where the provider must make improvements are:

  • Ensure medical oxygen is available for management of medical emergencies.

In addition the provider should:

  • Review the arrangements for keeping prescription pads and forms secure and accounted for.
  • Monitor systems and quality to identify where improvements can be made through completed clinical audit cycles.
  • Consider formalising its complaints policy in writing and making written information about how to make a complaint available to patients.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice