23 November 2023
During a routine inspection
We carried out an announced comprehensive inspection at Greenwich Peninsula Practice on 23 November 2023. Overall, the practice is rated as good.
Safe - good
Effective - good
Caring - good
Responsive - requires improvement
Well-led - good
During the inspection process, the practice highlighted efforts they are making to improve access for their population. These had only recently been implemented so the effect of these efforts is not yet reflected in verified outcomes data. As such, the ratings for this inspection have not been impacted. However, we continue to monitor the data and where we see potential changes, we will follow these up with the practice.
The practice was previously inspected under a different provider. Following our previous inspection on 3 February 2016, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Greenwich Peninsula Practice on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a comprehensive inspection to check whether the provider was 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.
How we carried out the inspection.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- 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 found that:
- There were processes in place to keep people safe.
- The provider routinely reviewed the effectiveness of the care provided.
- Staff treated patients with kindness and respect and involved them in decisions about their care and treatment.
- Patients reported some dissatisfaction with access to care and treatment. The provider had developed an action plan to address these concerns.
- There were systems to encourage learning and continuous improvement.
Whilst we found no breaches of regulations, the provider should:
- Continue to collect survey data and take steps to improve access for all patients.
- Improve uptake of cervical cancer screening and childhood immunisations.
- Take steps to ensure all patients with long term conditions receive the required tests and reviews.
- Improve the process for responding to safety alerts.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care