• Doctor
  • GP practice

The Corner Surgery

Overall: Good

99 Coldharbour Lane, East Brixton, London, SE5 9NS (020) 7274 4507

Provided and run by:
The Corner Surgery

Latest inspection summary

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Background to this inspection

Updated 28 September 2016

The Corner Surgery is a medium sized practice based in Lambeth. The practice list size is 5621. The practice population is very diverse. The practice is in an area in London of high deprivation. There is a higher than average percentage of patients aged between 20-44 and also a higher than average number of single parents. The practice had a Personal Medical Services (PMS) contract.

The practice facilities include four consulting rooms, one treatment room, one patient waiting room and one administration office. The premises are wheelchair accessible and there are facilities for wheelchair users including an accessible toilet, and a hearing loop.

The staff team comprises one male GP partner, two female GP partners and one locum GP providing a total of 14.5 GP sessions per week. One female practice nurse, one female locum practice nurse and a practice manager. Other practice staff include one female health care assistant, two female health care assistant / receptionists, five receptionists (three female, two male), and two administrators.

The practice is open between 8.00am and 6.30pm Monday to Friday for appointments and offers extended opening between 6.30pm and 7.00pm Monday to Friday, and between 6.30pm and 7.30pm on Tuesday. When the practice is closed patients are automatically directed from practice telephone to the local out of hours provider and are also directed to the nearby Waldron NHS walk-in centre which is open 7 days a week from 8.00am to 8.00pm. This information is also available on their website.

The practice is registered as a partnership with the Care Quality Commission (CQC) to provide the regulated activities of; treatment of disease, disorder and injury; diagnostic and screening procedures and maternity and midwifery services. These regulated activities are provided at one location.

Overall inspection

Good

Updated 28 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 24 May. 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 an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • 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 found it easy 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 provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

  • The practice had worked with a local children’s charity to identify and register homeless and other vulnerable young patients, for example those experiencing poor mental heatlh. The practice was proactive in monitoring the care of these patients and liaising with local support services. The practice registered patients to the address of the charity to ensure their medical notes and correspondence was coordinated.

The areas where the provider should make improvement are:

  • Ensure the complaints policy and responses comply with requirements of The Local Authority Social Services and NHS Complaints (England) Regulations 2009.

Ensure an up to date health and safety risk assessment of the premises is in place.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

People with long term conditions

Good

Updated 28 September 2016

The practice is rated as good for the care of people with long-term conditions.

  • Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

  • The practice performance for diabetic patient was in line with local and national averages.

  • Longer appointments and home visits were available when needed.

  • All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. Patients at risk of various long term conditions were effectively identified and managed by the practice

Families, children and young people

Good

Updated 28 September 2016

The practice is rated as good for the care of families, children and young people.

  • There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

  • The practice had worked closely with a local childrens charity to identify and register homeless and otherwise vulnerable young patients.

  • Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

  • The practice’s uptake for the cervical screening programme was comparable to the CCG and national averages.

  • Appointments were available outside of school hours and the premises were suitable for children and babies.

  • We saw positive examples of joint working with midwives, health visitors and school nurses.

  • The practice had adopted the “You’re Welcome” quality criteria, which had been developed by the Department of Health which set out principles to encourage and support young people to access the service.

  • The practice GP and nurse had attended a local primary school to provide health education talks.

  • An audit of the recording of body mass index (BMI) in children (used to measure child obesity) prompted the practice to purchase new scales and to incorporate a designated room by the reception area as part of the ongoing building works which they intended to use to weigh children.

Older people

Good

Updated 28 September 2016

The practice is rated as good for the care of older people.

  • The practice offered proactive, personalised care to meet the needs of the older people in its population. Comprehensive care plans for patients with long term illness and complex needs were in place.

  • The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

  • One of the GP partners was the dementia lead for the local Clinical Commissining Group (CCG).

Working age people (including those recently retired and students)

Good

Updated 28 September 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

  • The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

  • The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

  • The practice offered telephone consultations where appropriate for patients who were unable to attend the practice in person.

People experiencing poor mental health (including people with dementia)

Good

Updated 28 September 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

  • The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

  • The practice carried out advance care planning for patients with dementia.

  • The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

  • The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

  • Staff had a good understanding of how to support patients with mental health needs and dementia.

  • The GP partners at the practice had completed diplomas in mental health in 2015.

People whose circumstances may make them vulnerable

Good

Updated 28 September 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

  • The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

  • The practice offered longer appointments for patients with a learning disability.

  • The practice regularly worked with other health care professionals in the case management of vulnerable patients.

  • The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

  • Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.