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Tooting South Medical Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 January 2020

We carried out an announced comprehensive inspection at Tooting South Medical Centre on 5 December 2019. We inspected the practice on 5 April 2016 and rated the practice as good overall, but as requires improvement for providing Caring services. The practice was rated as good for Caring following an announced desk-based follow up inspection on 2 November 2017.

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection looked at the following key questions:

  • Are services safe?
  • Are services effective?
  • Are services caring?
  • Are services responsive?
  • 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 requires improvement overall.

  • We have rated Safe as requires improvement because systems and processes to keep people safe had not been effectively implemented, including acting and monitoring on risk assessments.
  • We have rated Effective as Good because patients received effective care and treatment that met their needs.
  • We have rated Caring as requires improvement because the practice was statistically significantly below average for patient satisfaction with interactions with healthcare professionals. The practice had not taken effective steps to investigate the cause of the low satisfaction or to monitor whether the changes made to date had improved patients’ views of their care.
  • We have rated Responsive as requires improvement because the practice had received negative feedback from patients about access and having their needs met. The practice had taken action but had not put in place monitoring to ensure that these had resolved all of the issues.
  • We have rated Well-led as requires improvement because the practice had not put in place systems to ensure that systems and processes were operating as intended and had not established monitoring to ensure that actions taken had resulted in improvement or mitigated the intended risk.

We have rated all of the population groups as requires improvement for Responsive, because the issues affect all patients. A rating of requires improvement for this key question means that the population groups are all rated as requires improvement.

The areas where the provider must make improvements are:

  • 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.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Continue to take action to improve uptake of childhood immunisations and cervical screening.
  • Improve the identification of carers to enable this group of patients to access the care and support they need.

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

Requires improvement

Effective

Good

Caring

Requires improvement

Responsive

Requires improvement

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement