The Nelson Health Centre

Updated 7 March 2023

Merton Health Limited is the registered provider of the service. The provider is registered with the CQC to carry out the regulated activities of treatment of disease, disorder or injury. The head office is located at:

Merton Civic Centre,

London Road,

Morden

SM4 5DX

Merton Health is a GP Federation of 22 member practices providing Primary Medical Services to the patient population of Merton. The Federation was formed in 2016, serving a population of 231,117 people. Merton Health Limited is shareholder owned. The access hubs operate during evenings17:00-20:00 Monday to Friday and on the weekend Saturdays and Sundays 08:00-20:00.

How we inspected this service

• During the site visit, we spoke with the lead clinician and other members of the management team including the safeguarding lead.
• We looked at records related to patient assessments and the provision of care and treatment.
• Reviewed personnel files, service policies and procedures and other records concerned with running the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection

Updated 7 March 2023

This service is rated as 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

We carried out an announced comprehensive inspection at the Nelson Health Centre on 29 November 2022 and reviewed information sent to us by the provider remotely on 8 December 2022. This was the location’s first comprehensive inspection following registration with the Commission.

The providers head office is located at Merton Civic Centre, London Road,Merton.SM4 5DX.This service is registered with CQC under the Health and Social Care Act 2008 to provide treatment of disease and disorder or injury. They provide hub support and governance to primary care networks (PCNs) for the member GP practices and additional healthcare services to the patient population.

Dr Mariam Ganesaratnam is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• There was an effective system in place for reporting and recording significant events.
• Risks to patients were always assessed and well managed, including those relating to medicines, safeguarding and recruitment checks.
• Patients received effective care and treatment that met their needs.
• The extended access service organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• The service had policies and procedures to govern activity.
• The way the service was led and managed promoted the delivery of high-quality, person-centre care. There was a clear leadership structure and staff felt supported by management. The service proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services