Stovell House Surgery Also known as Dr Khan & Sheyin

Updated 4 February 2019

Stovell House Surgery, 188 Lower Addiscombe Road, Croydon, CR0 6AH provides primary medical services in Croydon to approximately 7,400 patients and is one of the 55 practices in the Croydon Clinical Commissioning Group (CCG). The practice website can be accessed through www.stovellhousesurgery.co.uk  

The practice population is in the fourth less deprived decile in England. The practice population of children and working age people are in line with the CCG and national averages and the practice population of older people is above the CCG average and below the national average.

The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury.

Updated 4 February 2019

We carried out an announced focused inspection at Stovell House Surgery on 13 December 2018 to follow up on breaches of regulations.

At this inspection we followed up on breaches of regulations identified at a previous inspection on 6 December 2017.

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 for providing safe services.

We found that:

• 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 acted on and learned from external safety events as well as patient and medicine safety alerts.
• The practice had emergency medicines to deal with a range of medical emergencies.
• The practice acted on the recommendations following the legionella risk assessment.
• Clinical audit had a positive impact on quality of care and outcomes for patients.
• Appropriate staff completed Mental Capacity Act training.
• Response letters for complaints had the information on where to go if patents were dissatisfied with the outcome of the investigation.
• Only 13% (five patients) of 39 patients with learning disability had their health checks since April 2018; the provider informed they had booked health check appointments for 21 patients with learning disability till March 2019.

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

• Undertake health checks for all patients with a learning disability.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 31 March 2015

The practice is rated as good for the population group of people with long term conditions. Emergency processes were in place and referrals were made for patients that had a sudden deterioration in health. When needed longer appointments and home visits were available. All these patients had structured annual reviews to check their health and medication needs were being met. The named GP worked with relevant health and care professionals for patients with complex care needs to ensure the delivery of a multi-disciplinary package of care.

Updated 31 March 2015

The practice is rated as good for the population group of families, children and young people. Systems were in place for identifying and following-up children living in disadvantaged circumstances and who were at risk. For example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations. Patients told us and we saw evidence that children and young people were treated in an age appropriate way and recognised as individuals. Appointments were available outside of school hours. Staff provided us with good examples of joint working with midwives and health visitors. Emergency processes were in place and referrals made for children and pregnant women who had a sudden deterioration in health.

Updated 31 March 2015

The practice is rated as good for the care of older people. Nationally reported data showed the practice had good outcomes for conditions commonly found amongst older people. The practice offered personalised care to meet the needs of the older people in its patient population and had a range of enhanced services, including dementia care and end of life care. The practice was responsive to the needs of older people, including offering home visits and rapid access appointments for those with complex needs. Flu vaccinations were offered to patients over the age of 65. The practice provided flu vaccinations to 64.4% of its patients who were over the age of 65 during the winter of 2013/14; the national average for the same period was 73.2%. This winter (2014/15), the practice introduced weekend vaccinations which took place over two Saturdays during September 2014 to ensure a higher uptake of vaccinations.

Updated 31 March 2015

The practice is rated as good for the population group of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice was proactive in offering online services as well as a full range of health promotion and screening which reflected the needs for this population group.

Updated 31 March 2015

The practice is rated as good for the population group of people experiencing poor mental health (including people with dementia). Staff regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health including those with dementia. The practice had advance care planning arrangements in place for patients with dementia.

The practice had sign-posted patients experiencing poor mental health to various support groups and third sector organisations. The practice had a system in place to follow up on patients who had attended accident and emergency where there may have been mental health needs. Staff had received training on how to care for patients with mental health needs and dementia.

Updated 31 March 2015

The practice is rated as good for the population group of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including people of no fixed abode and those with learning disabilities. The practice had carried out annual health checks for patients with learning disabilities. The practice offered longer appointments for patients with learning disabilities.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients. The practice had sign-posted vulnerable patients to various support groups and third sector organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in and out of hours.