The Care Quality Commission
  • Doctor
  • GP practice

Archived: City Square Medical Group

Overall: Good read more about inspection ratings

129 Cannon Street Road, London, E1 2LX (020) 7488 4240

Provided and run by:
City Square Medical Group

Important: This service is now registered at a different address - see new profile

All Inspections

2 November 2019

During an annual regulatory review

We reviewed the information available to us about City Square Medical Group on 2 November 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

9 May 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at City Wellbeing Practice on 19 November 2014. The overall rating for the practice was good. The full comprehensive report on the 19 November 2014 inspection can be found by selecting the ‘all reports’ link for City Wellbeing Practice on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 9 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 19 November 2014. There were concerns due to a lack of procedures for escalating and reviewing safeguarding concerns and not all staff had received safeguarding training.

Overall the practice is now rated as good.

Our key findings were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • 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.
  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvement are:

  • Review the methodology of their health & safety risk assessment and ensure that it is relevant to their building.

  • Ensure improvements are made to address patient access to appointments as outlined in the patient survey.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

19 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

City Wellbeing Practice is a GP practice which provides primary medical care to nearly 7000 patients in the Whitechapel area of east London. The practice operates a branch surgery on two afternoons per week at Portsoken Health Centre, 14-16 Little Somerset Street, London E1 8AH but this was not inspected as part of this visit. Services provided include minor surgery (injections only), phlebotomy and a range of nurse led clinics such as antenatal, diabetes and sexual health. It is situated in an ethnically diverse inner city area with high levels of deprivation.

We carried out an announced comprehensive inspection on 19 November 2014.

The practice is rated as good overall.

Our key findings were as follows:

  • patients were treated with kindness and respect and involved in making decisions about their care
  • patients were generally satisfied with the ease of getting through on the phone and the availability of appointments at the practice.
  • safe systems were generally in place to monitor and manage individual patient care and safety
  • care was planned and delivered effectively and patients underwent regular monitoring and medicines reviews
  • patients reported that they felt listened to
  • staff worked well with multidisciplinary teams to coordinate care for patients
  • the practice was responsive to patient’s needs and acted on feedback from them to improve the service
  • the practice was clean and infection control measures in place

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

  • Ensure that staff receive training in the safeguarding of vulnerable adults and implement a procedure for safeguarding vulnerable adults. Review the system for reviewing vulnerable children on the practice database.

In addition the provider should:

  • formalise the system for ensuring all staff are aware and taking any necessary action on medical updates and safety alerts
  • implement a procedure for the security of blank prescription forms in accordance with national guidance
  • introduce a system for carrying out full-cycle clinical audits
  • review and update the health and safety risk assessment
  • carry out a Legionella risk assessment
  • ensure staff undergo fire safety training and carry out regular fire safety drills
  • place information on opening and appointment times in the reception/waiting area

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice