Maddock Way Surgery - Care Quality Commission

Background to this inspection

Updated 15 May 2017

The Maddock Way Surgery is based in the London Borough of Southwark. The practice is run by two partners, one of whom is the lead GP and the other the practice manager. The practice is based in a purpose built building (which is part of a larger building) which is based on a single floor. The address of the practice is 10 Maddock Way, Cooks Road, London, SE17 3NH.

The practice has approximately 3,500 registered patients. The surgery is based in an area with a deprivation score of 2 out of 10 (10 being the least deprived). The practice age demographic is similar to much of the borough of Southwark in that there are a higher than average number of patients between the ages of 20 and 50 and a lower than average number of patients over the age of 60.

The practice employs one further GP. In total there are two male GPs working to an equivalent of 1.75 whole time equivalent GPs. There is one practice nurse at the practice who works 25 hours per week. There are three reception/administrative staff at the practice.

The practice is contracted to provide Personal Medical Services (PMS) and is registered with the CQC for the following regulated activities: treatment of disease, disorder or injury, maternity and midwifery, and diagnostic and screening procedures at one location.

The practice is open Monday to Friday 8:00am to 6:30pm. There are extended hours 6:30pm to 8:30pm on Tuesdays. There are appointments available from 9am-11am and 4pm until 5:30pm daily, plus 6:30pm until 8:15pm on Tuesdays

The practice had been inspected by the CQC in 2014 at a time when inspections were not rated. The practice was inspected under CQC’s current methodology on 5 July 2016.

Overall inspection

Good

Updated 15 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Maddock Way Surgery on 5 July 2016. The overall rating for the practice was requires improvement. The full comprehensive report of the 5 July 2016 inspection can be found by selecting the ‘all reports’ link for Maddock Way Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 14 March 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 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

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Overall the practice is now rated as good.

Our key findings were as follows:

The practice had clearly defined and embedded systems, processes and practices to minimise risks to patient safety.
Staff demonstrated that they understood their responsibilities and all had received training on safeguarding children and vulnerable adults relevant to their role.
Information about how to complain was available and evidence showed the practice responded quickly to issues raised. Learning from complaints was shared with staff and other stakeholders.

We also reviewed the areas we identified where the provider should make improvement:

The practice had adequate arrangements to respond to emergencies and major incidents.
The practice had translation services in place.
The practice had introduced a website which contained relevant information about the practice, and health promotion advice.
Meetings at the practice were minuted and decisions were clearly recorded.

However, there was an area of practice where the provider needs to make improvements.

The provider should:

Review the national patient survey where results were in some areas below national averages.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice