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The Spitalfields Practice Good

Inspection Summary


Overall summary & rating

Good

Updated 30 September 2019

We carried out an announced inspection of The Spitalfields Practice on 6 September 2019 following our annual review of the information available to us about the practice. This inspection looked at the following key questions:

  • Are services effective?
  • Are services caring?
  • Are services well-led?

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 good for all population groups.

We rated the practice as good for providing effective, caring and well-led services because:

  • Care and treatment was delivered in line with current legislation, standards and evidence-based guidance.
  • The practice reviewed and monitored the effectiveness and appropriateness of the care and treatment it provided through a programme of quality improvement activity.
  • Staff had the skills, knowledge and experience to carry out their roles.
  • Patient feedback in CQC comment cards was positive about the service.
  • The practice had discussed low GP Patient Survey results for questions relating to kindness and compassion, and had an action plan in place to try and improve scores.
  • The practice respected patients’ privacy and dignity.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management.
  • The practice had effective processes for managing risks, issues and performance.
  • There was a focus on learning, continuous improvement and innovation.

We did not inspect whether the practice was providing safe and responsive services at this inspection and have used the previous ratings in making our judgement about the overall quality of care.

Whilst we found no breaches of regulations, there were areas where the provider could make improvements and should:

  • Ensure the system to monitor uncollected prescriptions is embedded and adhered to.
  • Continue monitoring and working to improve data for childhood immunisations, cervical screening and cancer patient reviews.
  • Consider formalising oversight of clinicians through documented record checks.
  • Continue to monitor and take action regarding feedback about how patients feel they are treated by clinicians and carry out practice patient surveys.
  • Review how carers are identified and recorded on the clinical system to ensure information, advice and support is made available to them.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good