Hurley Clinic

Updated 1 November 2023

Hurley Clinic is located at Ebenezer House, Kennington Lane, London, SE11 4HJ.

The practice has a branch surgery at Riverside Medical Centre, Hobart House, St George Wharf, London, SW8 2JB.

Our inspection team visited the main practice and branch surgery as part of our inspection.

The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services, treatment of disease, disorder or injury and surgical procedures and family planning. These are delivered from both sites.

The practice offers services from both a main practice and a branch surgery. Patients can access services at either surgery.

The practice is situated within the South East London Integrated Care System (ICS) and delivers General Medical Services (GMS) to a patient population of about 22,890. This is part of a contract held with NHS England.

The practice is part of a wider network of GP practices: North Lambeth Primary Care Network.

Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the fourth lowest decile (4 of 10). The lower the decile, the more deprived the practice population is relative to others.

According to the latest available data, the ethnic make-up of the practice area is 57.5% White, 25.3% Black, 7.2% Mixed, 7.1% Asian, and 2.9% Other.

There are more working age and fewer older people and young people registered at the practice compared with local and national averages.

There is a team of 7 GPs who provide cover at both practices. The practice has a team of 2 nurses who provide nurse led clinics for long-term conditions at both the main and the branch location. The GPs are supported at the practice by a team of reception and administration staff. The practice manager works at both the main location and branch surgery to provide managerial oversight.

The practice is open between 8am to 8pm Monday to Friday. The practice offers a range of appointment types including book on the day, telephone consultations and advance appointments.

Extended access is provided locally by the PCN, where late evening and weekend appointments are available. Out of hours services are provided via NHS 111.

Updated 1 November 2023

We carried out an announced comprehensive inspection at Hurley Clinic on 13 and 14 September 2023. Overall, the practice is rated as requires improvement.

Safe - requires improvement

Effective - requires improvement

Caring - good

Responsive – requires improvement

Well-led - requires improvement

Following our previous inspection on 19 November 2014 the practice was rated good overall and for providing safe, effective, caring and well-led services but requires improvement for providing responsive services. We carried out a focused follow-up inspection on 16 June 2016 and found improvements had been made. Following the 2016 inspection we rated the practice as good for providing responsive services.

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

Why we carried out this inspection

This inspection was a comprehensive inspection to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014

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 :

• Conducting staff interviews using video conferencing.
• Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• 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 have rated this practice as Requires Improvement.

We have rated this practice as Requires Improvement for providing safe services because:

• The provider had not acted in relation to risks identified in legionella risk assessments.
• Staff did not always have the appropriate authorisations to administer medicines via the correct use of Patient Group Directions.
• All medicines were not always reviewed during medicine reviews.
• Safety alerts were not always actioned in line with national guidance.

We have rated this practice as Requires Improvement for providing effective services because:

• Patients with long-term conditions were not always monitored in line with best practice guidance.
• Improvements were needed to the uptake rates of childhood immunisations and cervical cancer screening.

We have rated this practice as Requires Improvement for providing responsive services because:

• The provider had attempted to improve patient access, however the impact of these changes was not yet reflected in patient feedback.

We have rated this practice as Requires Improvement for providing well-led services because:

• The practice had not identified and managed all risks relating to the management of; safety alerts; patients with long-term conditions; medicine reviews; access to appointments; and legionella management.

We found that:

• The practice learned and made improvements when things went wrong.
• The practice had a comprehensive programme of quality improvement activity.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Complaints were listened and responded to and used to improve the quality of care.

We found two breaches of regulations. The provider must:

• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Take steps to ensure staff immunisations are maintained in line with current UK Health and Security Agency guidance.

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 Health Care