The Care Quality Commission
  • Doctor
  • GP practice

Tottenham Health Centre

Overall: Good read more about inspection ratings

759 High Road, Tottenham, London, N17 8AH (020) 3370 9086

Provided and run by:
Tottenham Health Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Tottenham Health Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Tottenham Health Centre, you can give feedback on this service.

04 October 2022

During an inspection looking at part of the service

We carried out an announced focused inspection at Tottenham Health Centre on 04 October 2022. Overall, the practice is rated as Good (carried forward from previous inspection).

The ratings for each key question were rated as:

Safe - Not inspected (rating of Good carried forward from previous inspection)

Effective - Requires improvement

Caring – Not inspected (rating of Good carried forward from previous inspection)

Responsive – Not inspected (rating of Good carried forward from previous inspection)

Well-led – Not inspected (rating of Good carried forward from previous inspection)

Following our previous inspection on 29 January 2019, the practice was rated Good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Tottenham Health Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection to follow up concerns reported to us. The focus of the inspection included:

  • Inspecting the Effective key question.
  • Consideration of issues highlighted to Care Quality Commission.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Requesting evidence from the provider.
  • A short site visit.

Our findings

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 found that:

  • The practice had a number of gaps in recruitment files. For example, clinical staff did not always have a copy of their full immunisation history in their personnel file.
  • Staff who were not British Nationals did not always have evidence in their recruitment files to show proof of their right to work which covered the duration of their employment at the practice.
  • Staff did not always have the appropriate level of safeguarding training applicable to their role.

We found one breach of regulations. The provider must:

  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

29 January 2019

During a routine inspection

This practice is rated as Good overall. (Previous rating March 2017 – Good in all domains and population groups)

We carried out an announced comprehensive inspection at Tottenham Health Centre on 29 January 2019 as part of our inspection programme.

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 and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Continue with efforts to improve the up-take of child immunisations for children aged two, bowel cancer screening and cervical screening.
  • Review governance arrangements around vaccine management and the practice’s quality improvement programme, including planned 2-cycle audits.
  • Continue with practice’s action plan to improve QOF and patient survey results.

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

15 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Tottenham Health Centre on 15 November 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 an effective system in place for reporting and recording and learning from 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.
  • The practice carried out a programme of audit to improve patient care.
  • 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.

The areas where the provider should make improvement are:

  • Review systems for identifying and recording carers to ensure appropriate support is provided to them.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice