The Care Quality Commission
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  • GP practice

Archived: Mildmay Medical Practice

Overall: Good read more about inspection ratings

2a Green Lanes, London, N16 9NF (020) 7923 1999

Provided and run by:
Mildmay Medical Practice

Important: The provider of this service changed. See new profile

All Inspections

19 July 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mildmay Medical Practice on 25 November 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Mildmay Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 19 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 25 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

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Overall the practice is now rated as good.

Our key findings were as follows:

  • Safety alerts were logged, reviewed and shared with staff.

  • All staff had received appropriate safeguarding, child protection and basic life support training.

  • All staff had received a disclosure and barring service (DBS) check.

  • Fire safety systems had been reviewed and all fire prevention monitoring systems were up to date.

  • The practice had purchased a defibrillator and all staff were trained in its use.

  • A staff induction plan had been implemented and included topics such as safeguarding, basic life support and fire safety awareness.

  • Consent was being monitored and audited.

  • Failsafe systems for the cervical screening programme were in place.

  • Staff were aware of the vision and values of the practice and it was on display in the practice.

  • An overarching governance framework supported the delivery of the strategy and good quality care.

  • The practice had an active patient participation group.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

25 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Mildmay Medical Practice on 25 November 2016. Overall the practice is rated as requires improvement.

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.
  • Risks to patients were not always managed such as fire and electrical equipment safety, recruitment checks, and medical emergencies.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • There were gaps in staff safety training and induction but staff had otherwise been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and 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.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • The practice had encountered significant staffing challenges for approximately 18 months prior to inspection but had secured a stable staff team by the time of inspection.
  • The practice had applied for funding to improve premises and staffing.
  • The practice was in the process of implementing its new leadership structure and staff felt supported by management. The practice sought feedback from staff and patients, which it acted on.

The areas where the provider must make improvements are:

  • Implement appropriate arrangements to identify and mitigate risks to patient’s safety including staff safety training and induction.
  • Ensure recruitment arrangements include all necessary employment checks for all staff.
  • Ensure patients records are appropriately secured and maintained.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice