The Care Quality Commission
  • Doctor
  • GP practice

Aldersbrook Medical Centre

Overall: Good read more about inspection ratings

65 Aldersbrook Road, London, E12 5DL (020) 8518 8080

Provided and run by:
Richmond Road Partnership

All Inspections

23 November 2023

During an inspection looking at part of the service

We carried out an announced targeted assessment of the responsive key question at Aldersbrook Medical Centre on 23 November 2023. The assessment took place remotely. As part of the assessment we have reviewed the rating for the responsive key question. As a result, the responsive key question has been rated good.

Safe – not rated, the rating of good was carried over from the previous inspection.

Effective - not rated, the rating of good was carried over from the previous inspection.

Caring - not rated, the rating of good was carried over from the previous inspection.

Responsive – as part of this assessment we reviewed the rating for the responsive key question, our judgement was the rating will remain good.

Well-led - not rated, the rating of good was carried over from the previous inspection.

Following our previous inspection on July 2022, the practice was rated good in all five key questions, with an overall rating of good.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Aldersbrook Medical Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities to complete targeted assessments of the responsive key question to better understand the experience of patients and providers.

Outline focus of inspection to include:

  • Responsive Key question inspected

How we carried out the inspection

This assessment was completed remotely.

This included:

  • Conducting staff interviews using teleconferencing.
  • Requesting evidence from the provider.
  • Reviewing the data we hold on this provider.
  • Reviewing patient feedback reported directly to us, verified patient reviews and patient experience evidence supplied by the provider.

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 found that:

  • We found services were developed to respond to the needs of the local population.
  • Patients could access care and treatment in a timely way.
  • We saw evidence the practice used complaints and patient feedback to drive improvement

We found some examples of outstanding practice in patient engagement:

  • Antenatal Classes / Postnatal Classes – these free classes are led by a National Childbirth Trust instructor. The post-natal classes included paediatric first aid training.

  • Educational Workshops – these free workshops are expert led and held on a quarterly patients.

Whilst we found no breaches of regulations, the provider should:

  • Ensure complaints are acknowledged within the timeframe set out in the complaints policy and ensure contact details of where complaints can be escalated are made available in the formal response.
  • Continue to monitor patient feedback for access.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

6 & 11 July 2022

During a routine inspection

We carried out an announced inspection at Aldersbrook Medical Centre on 6 & 11 of July 2022. Overall, the practice is rated as good.

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Why we carried out this inspection

This inspection was a comprehensive inspection following the provider’s registration with the Commission to provide services at this location.

How we carried out the inspection/review

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 and telephone calls.
  • 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.
  • Information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall

We found that:

  • The practice had clear systems, practices and processes to keep people safe and safeguarded from abuse.
  • There were adequate systems to assess, monitor and manage risks to patient safety.
  • The practice had systems for the appropriate and safe use of medicines, including medicines optimisation.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients’ needs were assessed, and care and treatment was delivered in line with current legislation, standards and evidence-based guidance supported by clear pathways and tools.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • There were evidence of systems and processes for learning, continuous improvement and innovation.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services