The Care Quality Commission
  • Doctor
  • GP practice

Dr James Lawrie

Overall: Good read more about inspection ratings

Royal Docks Medical Centre, 21 East Ham Manor Way, Beckton, London, E6 5NA (020) 7511 4466

Provided and run by:
Dr James Lawrie

All Inspections

During an assessment under our new approach

Date of Assessment: 11/08/2026. Royal Docks Medical Centre is a GP practice and delivers services to approximately 11,992 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 43.2% White, 25.4% Asian, 5.6% Mixed, 21% Black and 4.9% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in deprivation decile 4 of 10. The lower the decile, the more deprived the service population is relative to others.

This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements out of 34 across all 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. There were enough staff with the right skills, qualifications and experience.

Staff supported people to live healthier lives and routinely monitored their care and treatment. However, outcomes were not always positive or consistent, and national targets for childhood immunisation and cervical screening were not met.

Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.

People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.

The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.

12 June 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

The practice is rated good overall and good for providing safe services.

We carried out an announced comprehensive inspection of this practice on 18 February 2016. The overall rating for the practice was good. However, a breach of legal requirements was found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us evidence and actions detailing what they would do to meet the legal requirements. We conducted a focused inspection on 12 June 2017 to check that the provider had followed their plans and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

During our previous inspection on 18 February 2016 we found the following area where the practice must improve:

  • Ensure a system for production of Patient Specific Directions (PSDs) to enable nurses to administer specific injectable medicines such as vitamin B12, Depo-Provera and Yellow Fever vaccinations as required.

Our previous report also highlighted the following areas where the practice should improve:

  • Consider increasing the frequency of basic life support training for non-clinical staff.
  • Implement robust arrangements to assess and manage processes such as the cold chain, and recruitment procedure and all necessary pre-employment checks for all staff.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

During the inspection on 12 June 2017 we found:

  • Appropriate PSDs were in place to enable nurses to administer specific injectable medicines in line with legislation.
  • Effective arrangements were in place to ensure staff pre-employment checks and basic life support (BLS) training.
  • There were systems to maintain the cold chain for safe storage of refrigerated medicines. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Dr James Lawrie practice on 18 February 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 significant events.
  • Most risks to patients were assessed and generally well-managed, with the exception of elements of medicines management for practice nurses and DBS checks for non-clinical staff.
  • 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 generally said they found it easy to make an appointment with a named GP and that 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 must make improvement are:

  • Ensure a system for production of Patient Specific Directions to enable nurses to administer specific injectable medicines such as vitamin B12, Depo-Provera and Yellow Fever vaccinations as required.

An area where the provider should make improvement is:

  • Consider increasing the frequency of basic life support training for non-clinical staff.
  • Implement robust arrangements to assess and manage processes such as the cold chain, and recruitment procedure and all necessary pre-employment checks for all staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice