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Dr Scott & Partners Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 June 2021

We carried out an announced comprehensive inspection at Dr Scott & Partners (Cheam GP Centre) on 29 April 2021 and a remote clinical review on 27 April 2021 to follow up on breaches of regulations.

The practice was previously inspected on 17 July 2019. Following that inspection, the practice was rated as requires improvement overall (requires improvement in safe, responsive and well-led) for issues in relation to medicines management, management of significant events, maintenance of recruitment records, staff training and governance arrangements.

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 rated the practice as requires improvement for providing safe services.

At this inspection, we found the provider had made some improvements in providing safe services. In particular, the provider had made improvements to their systems and process in relation to safe recruitment and medicines management. However, we found new issues in relation to medicines management and the provider had not actioned some of the issues found in their infection prevention and control audit which were actions identified in their last inspection.

We rated the practice as requires improvement for providing effective services.

We found the provider did not have an effective system to identify patients with commonly undiagnosed conditions, for example diabetes. Their uptake for childhood immunisations and cervical screening were below average and staff appraisals were not appropriately managed.

We rated the practice as good for providing caring services.

We found that the provider had made improvements for providing caring services. In particular the practice enabled people to express their views by carrying out patient surveys and making changes where necessary.

We rated the practice as requires improvement for providing responsive services.

We found that the provider had made some improvements for providing responsive services. In particular, the provider had made changes to improve access to the service. However, we found that access to care had not significantly improved.

We rated the practice as requires improvement for providing well-led services.

We found the provider had made improvements in providing well-led services in relation to good governance and had implemented systems and process in response to the findings of our previous inspection. However, leadership and governance arrangements in place still required improvement. Risks in relation to staff training, maintenance of staff immunisation records, medicines management, significant events, identifying patients with missed diagnosis had not been identified by the provider’s own governance systems.

We have rated this practice as requires improvement overall and requires improvement for all population groups.

The areas where the provider must make improvements are:

  • Ensure that care and treatment meet the needs of patients.
  • Ensure that care and treatment is provided in a safe way.
  • Establish effective systems and processes to ensure good governance in accordance with 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:

  • Maintain staff vaccination records appropriately.
  • Review quality improvement systems in place to implement and monitor improvements.
  • Manage staff appraisals appropriately.
  • Review service procedures to improve low scoring areas in the national GP patient survey to improve patient satisfaction.

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

Requires improvement

Caring

Good

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