Archived: Clapham Junction Medical Practice

We carried out an announced inspection at Clapham Junction Medical Practice on Thursday 4 November. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Requires Improvement

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Following our previous inspection on 23 January 2017, the practice was rated Good overall.

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

Why we carried out this inspection

This inspection was a comprehensive inspection under our new registration inspection guidance:

• Newly registered services are assessed to check they are safe, effective, caring, responsive and well-led.

How we carried out the inspection

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
• 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 and
• information from the provider, patients, the public and other organisations.

We have rated this practice as Good.

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.
• Policies and procedures were monitored, reviewed and updated.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• 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.
• There was a clear leadership structure and staff felt supported by management.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• There was evidence of quality improvement activity.

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

• Ensure that the systems in place for reporting significant events and complaints are effective and allow all potential risks to be identified, in order for patients to be kept safe and learning to be shared.
• Continue to consider ways to improve uptake for childhood immunisations and cervical screening.
• Ensure the systems in place for recording Do Not Attempt Cardio Pulmonary Resuscitation forms is consistent and reviewed regularly to ensure the patient’s wishes are adhered to.
• Ensure that their practice website contains the necessary information to allow patients to access a wide variety of services.

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