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Inspection carried out on 25 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Abrahams & Partners (Morden Hill) on 25 May 2016. Overall the practice is rated as good.

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 assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

  • Ensure that complete records are maintained of all training, including child safeguarding training appropriate to staff members’ roles.

  • Ensure that ‘near miss’ events are managed using the practice’s significant event process, so that learning can be recorded and assessed.
  • Ensure that recruitment checks are carried out in line with guidance and the practice policy and that a personal development plan is completed for all staff as part of the annual appraisal process.
  • Continue to improve patient outcomes as measured by the Quality and Outcomes Framework (QOF) and consider how to improve take up of annual health checks by patients with a learning disability.

Professor Steve Field

CBE FRCP FFPH FRCGP

Chief Inspector of General Practice