11 March 2022
The Drive Surgery is based in Ilford, Essex at:
68 The Drive
The provider is registered with CQC to deliver the following Regulated Activities:-
- Diagnostic and screening procedures
- Maternity and midwifery services
- Treatment of disease, disorder or injury
- Family Planning
The practice is situated within the Redbridge Clinical Commissioning Group (CCG) and delivers Primary Medical Services (PMS) to a patient population of about 6,900. This is part of a contract held with NHS England.
The practice is part of a wider network of the local GP Primary Care Network (PCN). This PCN is made up of eight GP practices within this geographical area.
Information published by Public Health England shows that deprivation within the practice population group is in the seventh lowest decile (7 of 10). The lower the decile, the more deprived the practice population is relative to others.
There is one female GP provider who was supported by a team of four salaried GPs who provide clinical care at the practice. Three male locums and three female locums GP’s work approximately nine sessions between them. One male clinical pharmacist works approximately four sessions a week. There are two part-time nurses who work four sessions a week. There is one healthcare assistant who works varied sessions per week. The clinical staff are supported by a team of part-time reception staff and are supported by a part-time practice manager and a deputy practice manager.
The local primary care network provides the practice access to one clinical pharmacist who works at the practice one day per week.
Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance, most GP appointments were a combination of telephone and face-to-face consultations.
The practice opening hours are as follows: -
• 8am to 7pm Monday to Friday
• 10am to 6pm Saturday
• 11am to 3pm Sunday
Extended access and Out of Hours services are provided by the local GP Hub network, where late evening and weekend appointments are available.
11 March 2022
We carried out an unannounced focused inspection at The Drive Surgery on 11 October 2021. Overall, the practice is rated as inadequate.
The ratings for each key question are as follows:-
Safe - Inadequate
Effective – Requires improvement
Well-led - Inadequate
The practice was previously inspected in August 2019.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Drive Surgery on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was an unannounced focused inspection as a result of concerns relating to the quality of care and leadership at this location.
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.
Due to the nature of this inspection, the inspection team was on site for the duration of the inspection.
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 inadequate overall.
We found that:
- The practice did not have adequate infection prevention controls in place to reduce the spread of infection.
- There were ineffective processes in place for record keeping including significant events.
- The practice had limited evidence of quality improvement activities.
- Checks to ensure staff working at the practice had the relevant qualifications and training not been conducted consistently and in a timely manner.
- The practice was unable to provide evidence to show that there were regular clinical and all staff practice meetings.
- Staff did not always have the appropriate authorisations in place to administer medicines.
- There was a lack of effective processes in place to manage risk and potential issues at the practice.
- The management of medicines at the practice did not always the guarantee the safety of these medicines.
- There was no evidence of learning gained shared within the practice.
The areas where the provider must make improvements:-
- Ensure that care and treatment is provided in a safe way.
- Establish effective care systems and process to ensure good governance in accordance with the fundamental standards of care.
I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for a key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.
The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.
Special measures will give people who use the service the reassurance that the care they get should improve.
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