This practice is rated as inadequate overall

The key questions are rated as:

Are services safe? – Inadequate

Are services effective? – Requires improvement

Are services caring? – Requires improvement

Are services responsive? – Good

Are services well-led? - Inadequate

We carried out an announced comprehensive inspection at Anerley Surgery on 31 October 2018. We inspected the practice at 224 Anerley Road London SE20 8TJ.

We carried out a comprehensive inspection as part of our inspection programme under Section 60 of the Health and Social Care Act 2008. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The provider did not ensure that care and treatment was delivered according to evidence-based guidelines; for example, patients on high risk medicines were not being monitored properly.

• There were ineffective arrangements for managing safety alerts.

• Information about services and how to complain was available.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• The leadership lacked the capacity and strategy to provide effective arrangements and systems, which led to governance, policy and procedural failures.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• The practice was not acting effectively or in a timely fashion on tasks raised on the clinical recording system.

The areas where the provider must make improvements as

they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way to patients.

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements

• Risk review the need for a paediatric pulse oximeter.

• Explore ways to improve uptake of cervical screening and childhood immunisations.

• Explore ways to monitor and improve patient satisfaction with involvement in consultations.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice