The Care Quality Commission
  • Doctor
  • GP practice

Mulgrave Road Surgery

Overall: Good read more about inspection ratings

48 Mulgrave Road, Sutton, Surrey, SM2 6LX (020) 8407 3600

Provided and run by:
Mulgrave Road Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Mulgrave Road Surgery 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 Mulgrave Road Surgery, you can give feedback on this service.

20 August 2019

During an annual regulatory review

We reviewed the information available to us about Mulgrave Road Surgery on 20 August 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

3 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mulgrave Road Surgery on 3 November 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 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.
  • Patients said they found it easy to make an appointment with a named GP and that 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.

There were areas of practice where the provider should make improvements:

  • Review practice procedures to ensure that all staff have annual basic life support training.
  • Review practice procedues to ensure all the recommendations from the legionella risk assessment are implemented and monitored.
  • Improve recording of minutes for multidisciplinary team meetings to ensure patients are monitored effectively.
  • Review how patients with caring responsibilities are identified to ensure information, advice and support is made available to them.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice