We carried out an announced comprehensive inspection at Bromley by Bow Health Centre on 24 May 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

• The practice runs an asthma club every summer, the club meets for four, two hour sessions. The aim of the club is to engage children and families around managing asthma. The project uses art based activities to teach children about asthma control, triggers, peak flow and airways. The asthma club provides an opportunity to meet other children and families, speak to the Asthma Nurse, and create some interesting art work that is used to decorate the waiting rooms. Families are able to ask questions, learn something new and improve their child’s health through better asthma management. We saw evidence that 15 families attended and completed the asthma club, and viewed testimonials from those parents that attending the club helped the families to monitor the condition for a total of 20 children.

The areas where the provider should make improvement are:

• The provider should take action to ensure there is an active Patient Participation Group within the practice.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice