We carried out a review of the data available to us about Tooting South Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Tooting South Medical Centre, you can give feedback on this service.
We carried out an announced inspection at Tooting South Medical Centre on 23 February 2022. Overall, the practice is rated as good.
Ratings for each key question:
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Following our previous inspection on 25 May 2021, the practice was rated requires improvement overall and requires improvement for all questions, except for effective, which was rated inadequate.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Tooting South Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
This was a comprehensive inspection to follow up on the breaches of Regulation 17 Good governance. At the previous inspection we found:
We also followed up on areas we identified the practice should improve at the last inspection. Specifically:
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
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:
Our findings
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as good overall and good for all key questions.
We found that:
Whilst we found no breaches of regulations, the provider should:
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
We carried out an announced inspection at Tooting South Medical Centre on 25 May 2021. Overall, the practice is rated as requires improvement.
Ratings for each key question:
Safe- Requires improvement
Effective- Inadequate
Caring- Requires improvement
Responsive- Requires improvement
Well-led- Requires improvement
Following our previous inspection on 5 December 2019, the practice was rated requires improvement overall and for all key questions but rated good for providing effective services.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Tooting South Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a comprehensive inspection to follow up on breaches of Regulation 12 Safe care and treatment and Regulation 17 Good governance. At the previous inspection we found:
• The registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment. In particular by ensuring actions taken had successfully mitigated the risks.
• There was not proper and safe management of medicines. In particular arrangements to ensure proper authorisation for medicines given.
We also followed up on areas we identified the practice should improve at the last inspection. Specifically:
• 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.
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
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:
• Conducting staff interviews using video conferencing
Overall Summary
20210401 Shorter report examples for use in Q1 inspections
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• Reviewing patient records to identify issues and clarify actions taken by the provider
• Requesting evidence from the provider
• A short 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 requires improvement overall and requires improvement for all population groups except for effective, which we have rated as inadequate.
We found that:
• Policies were monitored, reviewed and updated.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic.
• Staff dealt with patients with kindness and respect.
• The way the practice was led and managed did not always promote the delivery of high-quality, person-centre care.
• We found the practice was not always providing care in a way that kept patients safe and protected them from avoidable harm.
We found a breach of regulations. The provider must:
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
We also found the provider should:
• Continue efforts to improve patient satisfaction re: access, how long patients wait on the phone to get through to the practice, and to involve patients in decisions about their care and treatment.
• Continue efforts to identify carers.
• Continue to take action to improve uptake of childhood immunisations and cervical screening.
• Continue to ensure that all staff have protected time for learning and development.
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
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:
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as requires improvement overall.
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:
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
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
We carried out an announced comprehensive inspection of Tooting South Medical Centre on 5 April 2016. The overall rating for the practice was good. No breaches of legal requirements were found, however the practice was rated as requires improvement for providing caring services. This was because data from the national GP patient survey showed patients rated the practice in line with national averages in most aspects of care. In some areas the practice was rated by patients as below average. The practice had not taken any action to address these areas.
We also found areas the practice should improve, including recall process for patients with long term conditions and poor mental health, reviewing action points from audits and recording verbal complaints and concerns.
The full comprehensive report and desk-based focussed inspection report can be found by selecting the ‘all reports’ link for Tooting South Medical Centre on our website at www.cqc.org.uk.
This inspection was an announced focused desk-based inspection carried out on 2 November 2017 to review the improvements made in addressing and improving patient feedback. This report also covers additional areas of improvement made since our last inspection.
Overall the practice is rated as good. Specifically the practice was now found to be good for providing caring services.
Our key findings were as follows:
The practice had shown they had responded to patient feedback in the National GP Patient Survey and had gathered feedback via engaging with the Patient Participation Group (PPG), carrying out additional surveys and reviewing the NHS Friends and Family Test.
The practice had reviewed and improved their recall processes for patients with long term conditions and poor mental health. They also worked with a local mental health nurse to ensure patients with severe mental health conditions were reviewed.
The practice carried out audits and reviewed action points so that they lead to improved patient outcomes.
The practice kept a comprehensive log of verbal as well as written complaints.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Tooting South Medical Centre on 5 April 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows
The areas where the provider should make improvement are:
The practice should consider reviewing recall processes for patients with long term conditions and poor mental health where management criteria are lower than national averages.
The practice should consider reviewing action points in audits to ensure that they are more specific and lead to improved patient outcomes.
In view of patient feedback the practice should consider reviewing how patients are involved in their care and responding to patient feedback in the national GP patient survey.
The practice should consider retaining a log of complaints made in person rather as well as those received in writing.
Chief Inspector of General Practice