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The Mitcham Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 15 November 2021

We carried out an announced comprehensive inspection at The Mitcham Medical Centre on 29 & 30 September and 1 October 2021 as part of our inspection programme. Overall, the practice is rated as Good. The practice was previously inspected in December 2019. Following that inspection, the practice was rated as requires improvement overall (requires improvement in safe, effective, caring, responsive and well-led) for issues in relation to safe care and treatment, low patient outcomes, patient experience and governance arrangements. All population groups were rated as requires improvement.

The ratings for each key question are:

Safe Good

Effective Requires improvement

Caring Good

Responsive Good

Well-led Good

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

Why we carried out this inspection

This inspection was to follow up the breaches of regulation identified at the previous 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.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, considering the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections. This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included

  • Requesting evidence from the provider in advance of the 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 Good overall and requires improvement for effective due to improvements still required in increasing patient clinical outcomes. We have rated population groups: people with long term conditions, children & families and the working age people as requires improvement due to low uptake of childhood immunisations and cervical smears.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm. The practice had made improvements to the process of monitoring high risk medicines. Rolling audits were used to monitor progress. However, the recording of instances when a patient did not engage or respond to follow ups needs to be strengthened.
  • Whilst some patients received effective care and treatment that met their needs, data relating to the monitoring of patients with long term conditions was low. The practice were aware of this and were working to improve. The practice’s uptake for childhood immunisations and cervical cancer were low compared to local and national averages. However, data provided by the practice showed some improvement.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patient access to care had been improved at the practice with patients’ feedback largely positive about their experience of accessing the practice. Indication from internal surveys carried out by the practice showed the practice to be in line with local and national averages.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic and were currently providing face to face appointments as required.
  • Patients could access care and treatment in a timely way.
  • The practice had made significant improvements to their governance and systems.

The provider should:

  • Improve the process of recording medication reviews in instances when patients failed to engage with the practice.
  • Continue efforts to increase clinical outcomes for patients with long term conditions, increase the uptake for childhood immunisations and cervical cancer screening.
  • Maintain arrangements for managing patients on high risk medicines

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

Requires improvement

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

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