• Organisation
  • SERVICE PROVIDER

Wandsworth GP Federation Community Interest Company

This is an organisation that runs the health and social care services we inspect

All Inspections

14 – 15 December 2016

During an inspection of Community health services for adults

There are no ratings for this inspection as we do not currently rate small community based independent health services.

  • There were systems for identifying, investigating and learning from incidents relating to the safety of patients and staff members.
  • The service had clearly defined and embedded systems, processes and practices in place to safeguard patients from abuse.
  • The staffing levels were appropriate for the provision of services offered with a good staff skill mix across the service.
  • Risk management processes were in place to manage and prevent harm.
  • Patient outcomes were reviewed as part of audits or quality improvement.
  • Staff had the relevant skills, knowledge and experience to deliver the care and treatment offered by the clinic.
  • The clinic shared relevant information with other services appropriately and in a timely way.
  • Staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.
  • Staff treated patients with dignity and respect.
  • Patients were involved in decisions about their care and treatment.
  • The service offered flexible appointments to meet the needs of their patients.
  • There was a system in place which ensured a clear response to complaints with learning disseminated to staff about the event.
  • The clinic had a governance framework that supported the delivery of quality care.
  • There was a clear leadership structure; however there was no robust scheme of delegation within the service.
  • The service encouraged and valued feedback from patients, the public and staff.

However;

  • There was no dedicated clinician input to medicines management. Medicines used at the clinic were being managed by a person who was not a clinician. However after the inspection, we were told by the provider, that Medical Director and Clinical Lead had input into medicines management.
  • The provider did not have appropriate medicine storage facilities. Medicines were stored in a plastic storage container.
  • The consulting rooms where patients are examined, but which do not have a height adjustable examination table.
  • Patients were not given copy of the consent form.
  • There was no information available in the clinics informing patients on how to make complaints. The complaint process was not available to patients.