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Bishopsford Road Medical Centre, Morden.

Bishopsford Road Medical Centre in Morden is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, services for everyone and treatment of disease, disorder or injury. The last inspection date here was 2nd February 2018

Bishopsford Road Medical Centre is managed by Bishopsford Road Medical Centre.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2018-02-02
    Last Published 2018-02-02

Local Authority:

    Sutton

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

9th November 2017 - During an inspection to make sure that the improvements required had been made pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bishopsford Road Medical Centre on 4 April 2017. The overall rating for the practice was good, but with a rating of requires improvement for safety. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Bishopsford Road Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 9 November 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 4 April 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • Risks to patients were assessed and well managed. The practice had improved arrangements for assessing and managing the risk of legionella and fire safety.

In response to recommendations we made in the report, the practice had also:

  • Implemented a system of procedures for an administrator to follow to improve the uptake of childhood immunisations, by for example, sending invitations, adding alerts to the records of children who have missed immunisations. There was no recent published data on childhood immunisations to confirm if the actions taken had improved performance to in line with average.
  • Improved the arrangements to identification of patients with caring responsibilities to be able to provide appropriate support and signposting. Fifty-eight patients (just over 1% of the practice list) were now on the practice carer’s register (compared to 11 patients at the time of the last inspection).
  • Added information about the availability of a translation service to the waiting room.
  • Implemented a systematic approach to encourage patients to attend for breast screening and to following up patients who did not attend. There was no recent published data on breast screening to confirm if the actions taken had improved performance to in line with average.
  • Improved the system to monitor training to ensure that staff had the training necessary to do their job.
  • Reviewed a number of policies to ensure that they remained accurate, for example, with correct staff details.
  • Ensured that all patients received a copy of the complaints leaflet if they indicated to reception that they wished to complain, and with the initial acknowledgement letter. This leaflet included details of other agencies patients could contact if they were unhappy with the practice’s response. These details were also on the practice website.

The provider should:

  • Continue to monitor and take action to improve the uptake of childhood immunisations and breast screening.
  • Include with all final responses to complaints, information about agencies patients can contact if dissatisfied with the practice response.
  • Monitor actions taken to manage risks to patients to ensure they are implemented consistently.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

4th April 2017 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bishopsford Road Medical Centre on 4 April 2017. The overall rating for the practice was good, but with a rating of requires improvement for safety. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Bishopsford Road Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 9 November 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 4 April 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • Risks to patients were assessed and well managed. The practice had improved arrangements for assessing and managing the risk of legionella and fire safety.

In response to recommendations we made in the report, the practice had also:

  • Implemented a system of procedures for an administrator to follow to improve the uptake of childhood immunisations, by for example, sending invitations, adding alerts to the records of children who have missed immunisations. There was no recent published data on childhood immunisations to confirm if the actions taken had improved performance to in line with average.
  • Improved the arrangements to identification of patients with caring responsibilities to be able to provide appropriate support and signposting. Fifty-eight patients (just over 1% of the practice list) were now on the practice carer’s register (compared to 11 patients at the time of the last inspection).
  • Added information about the availability of a translation service to the waiting room.
  • Implemented a systematic approach to encourage patients to attend for breast screening and to following up patients who did not attend. There was no recent published data on breast screening to confirm if the actions taken had improved performance to in line with average.
  • Improved the system to monitor training to ensure that staff had the training necessary to do their job.
  • Reviewed a number of policies to ensure that they remained accurate, for example, with correct staff details.
  • Ensured that all patients received a copy of the complaints leaflet if they indicated to reception that they wished to complain, and with the initial acknowledgement letter. This leaflet included details of other agencies patients could contact if they were unhappy with the practice’s response. These details were also on the practice website.

The provider should:

  • Continue to monitor and take action to improve the uptake of childhood immunisations and breast screening.
  • Include with all final responses to complaints, information about agencies patients can contact if dissatisfied with the practice response.
  • Monitor actions taken to manage risks to patients to ensure they are implemented consistently.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

 

 

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