• Doctor
  • GP practice

The Beaumont Practice

Overall: Good read more about inspection ratings

Hornsey Rise Health Centre, Hornsey Rise, London, N19 3YU (020) 7288 3155

Provided and run by:
The Beaumont Practice

Important: The provider of this service changed. See old profile

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about The Beaumont Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about The Beaumont Practice, you can give feedback on this service.

16 November 2022

During an inspection looking at part of the service

We carried out an announced focused inspection at the Beaumont Practice on 16 November 2022. Overall, the practice is rated as good.

Safe - Good

Effective - Good

Caring - Not inspected, rating of good carried forward from previous inspection.

Responsive - Not inspected, rating of good carried forward from previous inspection.

Well-led - Good

We previously inspected the practice on 27-30 April 2021 and rated safe as inadequate; effective as requires improvement; well-led as requires improvement; caring as good and responsive as good. This gave the practice an overall rating of requires improvement. Because of the safety concerns we identified, we served a warning notice under Section 29 of the Health and Social Care Act 2008, as the provider was failing to comply with the relevant requirements of Regulation 12, (1), Safe care and treatment, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We also served a requirement notice relating to Regulation 17, Good Governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We carried out a warning notice follow up inspection on 11 August 2021 and saw confirming evidence the practice had taken sufficient action to address our concerns regarding the breaches under Regulation 12 safe care and treatment, and we deemed the practice as having met the requirements of the warning notice. At this inspection we were satisfied the breaches identified under Regulation 17 Good Governance had also been addressed, and we deemed the practice as having adequately met the requirement notice.

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

Why we carried out this inspection

We carried out this focussed inspection to follow up on the concerns and breaches of regulation we identified in the April 2021 inspection.

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:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm. There was now safe and adequate management and monitoring of patients prescribed high-risk medicines and drug safety alerts were being appropriately actioned.
  • Patients received effective care and treatment that met their needs. We were now assured patients prescribed high-risk medicines for long-term conditions and mental health conditions had received all necessary blood tests within appropriate timescales prior to prescribing as per national guidelines. We were also assured clinicians had assessed the blood test results and satisfied themselves it was safe to prescribe. Although the uptake of childhood immunisations and cervical screening was still not meeting national targets, we were satisfied the practice had sufficient mitigation for this and were doing all that was possible to improve.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care. The practice now had appropriate governance arrangements and systems and policies in place to ensure the safe management of patients prescribed high-risk medicines, and the dissemination and actioning of drug safety alerts.

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

  • Continue with efforts to create a new Patient Participation Group.
  • Continue with efforts to improve the uptake of childhood immunisations and cervical screening.
  • Continue with quality improvement ensuring regular two cycle audits are being carried out.

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 Hospitals and Interim Chief Inspector of Primary Medical Services

11 August 2021

During an inspection looking at part of the service

We carried out an announced inspection of The Beaumont Practice (the practice) on 11 August 2021. We have not revised the ratings from our previous inspection, which remain:

Overall, the practice is rated as Requires improvement.

The ratings for each key question are:

  • Safe - Inadequate
  • Effective – Requires improvement
  • Caring - Good
  • Responsive - Good
  • Well-led – Requires improvement

The full report of our previous inspection on 30 April 2021 can be found on our website at:

www.cqc.org.uk/location/1-8577962965/reports

At our previous inspection we identified concerns over safety at the practice, regarding the appropriate and safe use of medicines. We found the practice’s prescribing of the high-risk medicines was not always managed in a way that kept patients safe. Nor were we assured drug safety alerts were being actioned appropriately, or at all, to ensure the safety and wellbeing of patients. We served a warning notice under Section 29 of the Health and Social Care Act 2008 in relation to breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and a requirement notice in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The practice told us it had taken immediate steps to address our concerns and subsequently sent us a plan of the actions taken.

Why we carried out this inspection

We carried out this focussed inspection on 11 August 2021 looking at the identified breaches set out in the Regulation 12 warning notice, under the key question Safe, and to review the action taken by the practice. We found the practice had instigated actions which were sufficient for us to deem the practice had met the warning notice. We did not review the Regulation 17 requirement notice and have not revised ratings for the practice. We will consider those issues when we carry out a further follow up inspection in due course.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, we have taken account of the circumstances arising from 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:

  • A site visit to review patients’ records with the lead GP and practice manager and to consider the actions taken by the provider;
  • A remote review of relevant policies and protocols developed or revised by the provider since our last 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:

  • The practice had reviewed the care of the patients being prescribed high-risk medicines and those whose care involved medication referred to in two drug safety alerts. The practice had taken appropriate action in relation to the patients’ care.
  • Revised relevant policies had been introduced.

We shall programme a further inspection in due course to check and confirm the changes made have been fully established.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

30 April 2021

During a routine inspection

We carried out an announced comprehensive inspection at The Beaumont Practice between 27th -30th April 2021. Overall, the practice is rated as requires improvement.

Why we carried out this inspection

We carried out an inspection as the provider had changed their registration from a sole practitioner to a partnership and so this was the provider’s first inspection under their current registration.

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 requires improvement overall.

We rated the practice as inadequate for providing safe services because:

  • The practice had not provided care and treatment in a way that kept patients safe. In particular, we found there was unsafe and inappropriate management and monitoring of patients prescribed high-risk medicines and drug safety alerts were not being appropriately actioned. Because of the safety concerns we identified, we served a warning notice under Section 29 of the Health and Social Care Act 2008, as the provider was failing to comply with the relevant requirements of Regulation 12, (1), Safe care and treatment, of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We rated the practice as requires improvement for providing effective services because:

  • We were not assured patients prescribed high-risk medicines for long-term conditions and mental health conditions had received all necessary blood tests within appropriate timescales prior to prescribing as per national guidelines. The uptake for cervical screening was also below the national target of 80%.

We rated the practice as requires improvement for providing well-led services because:

  • The practice did not have clear and effective governance processes for managing and monitoring patients being prescribed high risk medicines and actioning drug safety alerts.

We rated the practice as good for providing caring and responsive services because:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

For the effective domain, we rated older people; people whose circumstances may make them vulnerable and families, children and young people as good. We rated people with long-term conditions and people experiencing poor mental health as requires improvement because of unsafe prescribing of high-risk medicines. We rated working age people as requires improvement because the cervical screening uptake rate was below the national target.

For the responsive domain, we rated all population groups as good.

We found two breaches of regulations. The provider must:

  • Ensure that care and treatment is provided in a safe way (Please see the specific details on action required at the end of this report).
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care. (Please see the specific details on action required at the end of this report).

The provider should:

  • Ensure the outstanding actions set out in the fire risk assessment are completed.
  • Continue with efforts to improve the uptake of cervical screening and childhood immunisations.
  • Continue with efforts to improve GP patient survey results data.

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