Background to this inspection
Updated
25 May 2018
The Robins Surgery is located in the area of Romford in Essex. The practice is commissioned by Havering Clinical Commissioning Group (CCG) to provide general medical services to approximately 4,560.
There are three GP partners (two male and one female). The GPs are supported by two female practice nurses, one healthcare assistant, and a team of receptionists/administrative staff, and a practice manager.
Data available to the Care Quality Commission (CQC) shows the practice serves a higher than average number of patients who are aged between 0 and 18 years of age when compared to the national average. Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to 10. (level one represents the highest levels of deprivation and level 10 the lowest.)
The practice is open Monday, Tuesday, Thursday, Friday between 8am and 7pm and Wednesday 8am to 1pm. Appointments can be booked over the telephone, online or in person at the surgery. Patients are provided information on how to access an out of hour’s service by calling the surgery or viewing the practice website.
The doctors carried out 17 sessions a week, which enabled two doctors to be available during the morning and afternoon surgeries. In addition, the nurses carried out 18 sessions a week.
The practice runs a number of services for its patients including; chronic disease management, new patient checks and travel vaccines and advice. The provider informed us the practice no longer carries out minor surgery procedures.
Services are provided from one location.
Harold Hill Health Centre
Gooshays Drive, Harold Hill
Romford
Essex
RM3 9SU
The practice website is www.therobinssurgery.co.uk.
Updated
25 May 2018
This practice is rated as Good overall. (Previous inspection May 2017 – Requires improvement)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at The Robins Surgery on 2 May 2018, to follow up on breaches of regulations identified at our inspection in May 2017. At our previous inspection in May 2017, we rated the practice requires improvement for providing safe, effective, caring and well-led services, and good for responsive services. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for The Robins Surgery on our website at www.cqc.org.uk.
At this inspection we found:
The practice had addressed all concerns that were identified at our previous inspections.
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- Staff had received the necessary training to carry out their work effectively.
- The management and staff had engaged with patients and responded positively to their feedback.
- The new computer software enabled the practice staff to review the effectiveness and appropriateness of the care it provided.
- Staff delivered patient care and treatment according to evidence- based guidelines.
- Staff treated patients with compassion, kindness, dignity and respect.
- Patients reported that they were able to access care when they needed it.
- There was a focus on improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Review patients on high-risk medicines to ensure shared care agreements are put into place.
- Review the recruitment, serious events, and business continuity policies to ensure they include the necessary information.
- Review the needs of carers to identify how staff could provide further support.
- Review the prioritising of appointments and implement a standard operating procedure to reflect this.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice