This practice is rated as Good overall. (Previous inspection 29 June 2016- (Rated Good overall Requires Improvement in Safe)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Requires Improvement
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Addington Road Surgery on 29 June 2016 to follow up on previously identified breaches of regulations. We inspected the practice at 77 Addington Road, West Wickham BR4 9BG. The overall rating for the practice following that inspection was Good. The full comprehensive report on the 29 June 2016 inspection can be found by selecting the ‘all reports’ link for at Addington Road Surgery on our website at www.cqc.org.uk
We carried out an announced comprehensive inspection at Addington Road Surgery on 25 July 2018 to follow up on breaches of regulation identified in June 2016.
At this inspection we found:
- All staff had received role specific training including basic life support, safeguarding and fire safety.
- The recruitment process had been reviewed and was now effective and in line with relevant legislation.
- The practice had reviewed patient satisfaction in relation to telephone access and the practice had undertaken their own patient survey, however this was an area the practice acknowledged still needed to be developed.
- The practice had reviewed how they made complaint forms accessible to patients.
- Access to services and appointments had been reviewed and improved to support improvements in patient satisfaction and was still being revised.
- 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 routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use, however reported that they had difficulties accessing appointments when needed.
- Data for 2016/2017 showed several patient outcomes were below local and national averages in relation to the Quality and Outcomes Framework clinical targets. The practice provided evidence for 2017/2018 that clinical performance had improved but this data had not been independently verified or published at the time of our inspection.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider must make improvements are:
- Ensure the care and treatment of patients is appropriate, meets their needs and reflects their preferences.
The areas where the provider should make improvements are:
- Review registration details so they are fully updated.
- Review process for undertaking fire risk assessment.
- Continue to review accessibility and appointments.
- Review updating the practice leaflet and how accessible it is.