You are here

Inspection Summary


Overall summary & rating

Good

Updated 17 April 2020

We carried out an announced focused inspection at Preston Road Surgery on 3 March 2020 to follow-up on a comprehensive inspection undertaken on 15 January 2019, when the practice was rated good overall (requires improvement for providing safe care) and the outcome of an Annual Regulatory Review undertaken on 6 December 2019.

Following the inspection in January 2019 the practice was rated good overall and good in all populations groups, but requires improvement for providing safe care because:

  • Arrangements in relation to infection control did not mitigate the risk of spread of infection.
  • Risk assessments to ensure the fire safety and health and safety of staff and people using the service had not been undertaken.

At this inspection we reviewed the safe, effective and well-led key questions. We did not specifically inspect the caring and responsive key questions and the ratings of good remain unchanged based on the findings from the last inspection on 15 January 2019. The report of the inspection undertaken in January 2019 can be found by selecting the ‘all reports’ link for Preston Road Surgery on our website at https://www.cqc.org.uk.

At this 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 (good for safe, effective and well-led) and for all population groups, except families, children and young people, which was rated as requires improvement as cervical screening outcomes were below the national target.

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 had received training appropriate to their roles and any further training needs had been identified and planned.
  • 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.
  • There was a clear leadership structure and staff felt supported by management.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We found one area of notable practice:

  • The practice had a significant number of Tamil-speaking patients with diabetes who were unable to benefit from the NHS diabetes education programme DESMOND (Diabetes Education and Self-Management for Ongoing and Newly Diagnosed) as this was not available locally in Tamil. The practice facilitated and self-funded the delivery of the programme quarterly with a Tamil interpreter for its own registered patients and all patients registered with a Brent GP. We reviewed some patient feedback which was positive.

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

  • Continue to review and improve the uptake of cervical screening and the childhood immunisation programme.

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

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good