Background to this inspection
Updated
7 February 2018
Thurleigh Road Practice provides primary medical services in Balham to approximately 13,500 patients and is one of 43 member practices in the NHS Wandsworth Clinical Commissioning Group (CCG).
The practice population is in the second least deprived decile in England with lower than CCG and national average representation of income deprived children and older people. The practice population has a higher than CCG average percentage of children under 15 and working age people, with a lower than CCG average of young people aged 15 to 24 years of age and people aged 50 or older.
The practice operates from a purpose-built property with most patient facilities on the ground and first floors. There are offices for administrative and management staff on the second floor alongside a flexible space used for patient activities such as yoga classes, staff training events and practice meetings. All three floors are accessed via a lift or stairs.
The practice operates under a Personal Medical Services (PMS) contract and provides a number of local and national enhanced services (enhanced services require an increased level of service provision above that which is normally required under the core GP contract).
The practice is operated by six GP partners along with one management partner. There are four salaried GPs and two GP registrars. The doctors provide 68 clinical sessions per week.
The nursing team consists of one part time advanced nurse practitioner, one part time nurse practitioner and one full time practice nurse. Thurleigh Road also employs two part time health care assistants.
There are eight administrative and clerical staff including one full time practice manager. There are 11 reception staff including two reception team leaders.
The practice is open between 8.00am and 6.30pm Monday to Friday. Appointments are from 8.00am to 6.30pm daily. Extended surgery hours are offered from 7.30am until 8.00am and 6.30pm until 7.30pm Monday to Friday. The practice does not open at weekends. The practice has opted out of providing out of hours (OOH) services to their own patients when the practice is closed and directs patients to use the NHS111 service.
Thurleigh Road Practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening services, family planning, maternity and midwifery services, surgical procedures and the treatment of disease, disorder or injury.
Updated
7 February 2018
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection February 2016 – Good overall)
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 a comprehensive inspection of Thurleigh Road Practice under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
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 treated patients with compassion, kindness, dignity and respect and involved them in decisions about their care and treatment.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- 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 how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Working age people (including those recently retired and students)
Updated
7 February 2018
People experiencing poor mental health (including people with dementia)
Updated
7 February 2018
People whose circumstances may make them vulnerable
Updated
7 February 2018