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Archived: Chingford Medical Practice

Overall: Good read more about inspection ratings

Chingford Health Centre, 109 York Road, Chingford, London, E4 8LF (020) 8524 0900

Provided and run by:
Chingford Medical Practice

All Inspections

21 December 2019

During an annual regulatory review

We reviewed the information available to us about Chingford Medical Practice on 21 December 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

3 July 2019

During an inspection looking at part of the service

We carried out an announced focused inspection at Chingford Medical Practice on 3 July 2019 to follow up on breaches of a regulation. CQC inspected the service on 29 November 2018 and asked the provider to make improvements regarding breaches of Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We checked these areas as part of this focused inspection and found this had been resolved.

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 good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe.
  • Comprehensive health and safety risk assessments had been undertaken and acted on to eliminate and mitigate risks for fire, legionella, and infection control.
  • Safety alerts were received, cascaded, followed up and clearly documented to ensure and verify patient’s safety.
  • Patients chaperoning arrangements were recorded accurately.

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

29 November 2018

During a routine inspection

This practice is rated as Good overall. (Previous inspection 4 February 2016 – Good)

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Chingford Medical Practice on 29 November 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen but not all were effective. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas of practice where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas of practice where the provider should make improvements are:

  • Review and improve systems for recording patients chaperoning arrangements.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

3 November 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Chingford Medical Practice on 3 November 2015. 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 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.
  • Patients said they were able to get an appointment when they needed one including urgent same day appointments, but they found it difficult to get through to the practice on the telephone.
  • 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 patients had an impact on what posters to display in the waiting area and the content of the practice leaflet, which included the introduction of female genital mutilation. The PPG worked alongside the practice to organise and lead on a meeting with the Chief Executive of a hospital to improve the response time in relation to blood tests results.

The areas where the provider should make improvement are:

  • Continue to work alongside the PPG to continue to decrease the time it takes to get through to the practice by telephone.

  • Review their processes for recording carers to increase the number of carers in the practice.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice