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Inspection Summary

Overall summary & rating


Updated 5 May 2020

We carried out an announced comprehensive inspection at Colliers Wood Surgery on 3 March 2020 as part of our inspection programme. At our last inspection in November 2018 we rated the service as requires improvement overall. Safe was rated as inadequate and well led was rated as requires improvement. We served the practice with Requirement Notices. We undertook a further inspection in August 2019 to review Safe. We found that satisfactory improvements had been made and safe was rated as Good. During this inspection, we found that the practice had satisfactorily addressed all areas from the 2018 inspection.

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 with the following key ratings;

Safe- Good

Effective- Requires Improvement

Caring- Good

Responsive- Good

Well – Led- Good

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • 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-centred care.

We rated the practice as requires improvement for providing effective services because:

  • Whilst some patients received effective care and treatment that met their needs, data relating to the monitoring of patients with high blood pressure was low. The practices uptake for cervical cancer and bowel cancer screening were low compared to local and national averages. The uptake for childhood immunisations was also low.

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

  • Improve clinical outcomes for patients with high blood pressure, increase the uptake for cervical and bowel cancer screening as well as childhood immunisations.

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

Inspection areas




Requires improvement






Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people


Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable