Background to this inspection
Updated
15 October 2019
Mawbey Group Practice provides GP services to approximately 10,000 patients in Lambeth from a single location. The practice has a Personal Medical Services (PMS) contract.
The practice has a higher than average population of those of working age. The practice is in the third most deprived decile in England. The practice list is relatively diverse and there are patients from a variety of ethnic populations registered at the practice, and many users of services do not speak English as a first language. The practice provides care to two local residential homes for patients with high complexity conditions such as dementia.
The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services, family planning and treatment of disease, disorder or injury.
The practice is located in a building which is owned by a local secondary care Foundation Trust. The building was not initially designed for use as a GP practice, but has been extensively renovated to ensure that it was suitable for providing clinical care. All of the consulting rooms and offices in the practice are on the ground floor, and there is level access for all patients.
There are four partners who share management responsibilities at the service. The practice employs a further three salaried and locum GPs. There is also a practice nurse and a pharmacist. The non-clinical team includes one of the partners who is managing partner of the practice, a practice manager, and six other administrative and reception staff.
Updated
15 October 2019
We carried out an announced comprehensive inspection at Mawbey Group Practice on 2 September 2019 as part of our inspection programme.
We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the key questions of safe, effective and well led. At the last inspection the practice was rated as good overall, and in all of the key questions and population groups.
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 good overall and good for all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Improve the detail in meeting minutes in order that relevant decisions and learning from incidents are clearly documented.
- Record actions taken where notifications and alerts from third party organisations have been received.
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
Families, children and young people
Updated
5 February 2015
The practice is rated as good for the population group of families, children and young people.
There were suitable safeguarding policies and procedures in place, and staff we spoke with were aware of how to report any concerns they had. Staff had received training on child protection which included Level 3 for GPs and nurses. There was evidence of joint working with other professionals including midwives and health visitors to provide good antenatal and postnatal care. Childhood immunisations were administered in line with national guidelines and the coverage for all standard childhood immunisations was relatively high.
Updated
5 February 2015
The practice is rated as good for the care of older people.
The practice was responsive to the needs of older people including those with dementia. Older people were cared for with dignity and respect and there was evidence of working with other health and social care providers to provide safe care. Support was available in terms of home visits and rapid access appointments for terminally ill and housebound patients.
Working age people (including those recently retired and students)
Updated
5 February 2015
The practice is rated as good for the population group of the working-age people (including those recently retired and students).
The needs of the working age population, those recently retired and students had been identified and there were a variety of appointment options available to patients such as on-line booking and extended hours. The practice offered health checks, travel vaccinations and health promotion advice including smoking cessation.
People experiencing poor mental health (including people with dementia)
Updated
15 October 2019
People whose circumstances may make them vulnerable
Updated
5 February 2015
The practice is rated as good for the population group of people whose circumstances may make them vulnerable.
People attending the practice were protected from the risk of abuse because reasonable steps had been taken to identify the possibility of abuse. The practice had policies in place relating to the safeguarding of vulnerable adults and whistleblowing and staff we spoke with were aware of their responsibilities in identifying and reporting concerns. The practice worked with other health and social care professionals to ensure a multi-disciplinary input in the case management of vulnerable people. The practice was signed up to the learning disability direct enhanced service (DES) to provide an annual health check for people with a learning disability to improve their health outcomes. The practice worked with the Lambeth Assessment Centre and Graham House (a wet hostel) providing three sessions a week to care for people who were homeless.