Open Door Surgery

Updated 21 December 2018

Open Door Surgery, 47 Boundaries Road, Wandsworth, London SW12 8EU provides primary medical services in Wandsworth to approximately 9300 patients and is one of the 44 member practices in the Wandsworth Clinical Commissioning Group (CCG). The provider operates a branch surgery Bec Family Practice at 62 Upper Tooting Road, Tooting, London SW17 7PB. The practice website can be accessed through

Both the main surgery and branch surgery was visited as part of this inspection.

The clinical team at the practice is made up of two full-time male GP partners, one full-time male and two part-time female locum GPs, five part-time female nurses and two full-time female healthcare assistants. The non-clinical team is made up of a management partner, a practice manager, a reception manager, a practice accountant and seven administrative and reception staff members.

The practice population is in the fifth more deprived decile in England. The practice population has a higher than CCG and national average representation of income deprived children and older people. The practice population of children and working age people is below the CCG and national averages. The practice population of older people is above the CCG and below the national averages.

The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury.

Updated 21 December 2018

This practice is rated as Good overall. (Previous rating September 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Open Door Surgery on 21 November 2018 as part of our inspection programme.

At this inspection we found:

• 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.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients had access to walk-in GP service Monday to Friday where they could attend the surgery without an appointment; the patients we spoke to and comments cards we received indicated they found this system very helpful and reported that they were able to access care when they needed it. The provider offered pre-bookable nurse appointments in the main and branch surgery and pre-bookable GP appointments in the branch surgery.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Review procedures in place to ensure there is a system in place to monitor the implementation of medicines and safety alerts.
• Review procedures in place to ensure appraisals for healthcare assistants have clinical input and their clinical support is generally improved.
• Review service procedures to ensure staff get protected learning time for training.
• Review procedures in place to ensure the patient participation group is led by patients.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 21 December 2018

Updated 21 December 2018

Updated 21 December 2018

Updated 21 December 2018

Updated 21 December 2018

Updated 21 December 2018