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The Merton Medical Practice Good


Review carried out on 9 August 2019

During an annual regulatory review

We reviewed the information available to us about The Merton Medical Practice on 9 August 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.

Inspection carried out on 23 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Merton Medical Practice on 23 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 well managed with the exception of some health and safety risks.
  • 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 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.

We saw an area of outstanding practice:

  • Performance for mental health related indicators was above the Clinical Commissioning Group (CCG) and national averages; 98% of patients had received an annual review compared with CCG average of 92% and national average of 88%.The number of patients with dementia who had received annual reviews was 100% which was above the CCG average of 84% and national average of 84%. The practice ensured that they worked with patients to improve their dementia diagnosis rate. Data from October 2014 showed that the practice’s dementia diagnosis rate was over 70% which was the second highest achievement in the CCG.

The areas where the provider should make improvement are:

  • Ensure there is a robust system in place to store, track and monitor the use of prescription pads throughout the practice.

  • Ensure that action plans from infection control audits include all identified risks.

  • Ensure that the practice has effective health and safety systems in place for equipment testing, health and safety risk assessments, the control of substances hazardous to health (COSHH) and Legionella risk.

  • Consider installing a hearing loop.

  • Review and improve telephone access for patients.

  • Ensure that complaints are acknowledged in a timely way, in line with the practice’s complaint handling policy.

  • Consider the use of patient surveys as a method for gathering targeted patient feedback to assist in improving the quality of the service.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice