Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection May 2016. Overall rated – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at London Fields Medical Centre on 6 December 2017 as part of our inspection programme.
At this inspection we found:
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The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
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Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment. However we found that non-clinical staff had not received formal safeguarding training. Evidence that this training had now been completed was provided following the inspection.
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The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
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Staff involved and treated patients with compassion, kindness, dignity and respect. Patients said that they were involved in their care and decisions about their treatment.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
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The practice had good facilities and was well equipped to treat patients and meet their needs.
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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.
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The provider was aware of and complied with the requirement of the duty of candour.
The areas where the provider should make improvements are:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice