We carried out an announced comprehensive inspection at Dr Susan Elizabeth Honey (also known as Woodfield Road Surgery) on 28 February 2019 as part of our inspection programme. We last inspected this practice on 19 May 2015 when they were rated good overall and for all population groups.

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 good overall and good for all population groups except

families, children and young people which was rated requires improvement because:

• Childhood immunisation uptake rates were below the World Health Organisation (WHO) targets for one and two-year-olds.

However, we found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• 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.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider should make improvements are:

• Work towards all staff attaining safeguarding children training to a level recommended in updated guidance.
• Consider providing enhanced infection prevention and control training for the lead to support them in the role.
• Review Public Health England (PHE) guidance in relation to vaccine fridge temperature monitoring.
• Continue to monitor performance of the Quality and Outcome Framework (QOF) indicators and patient outcomes in relation to the childhood immunisation programme.
• Consider how patients with a hearing impairment would access the service.

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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Woodfield Road Surgery

on 19 May 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed. The practice had effective systems in place to manage risks staff recruitment, infection control, child protection and safeguarding and medical emergencies
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. We found that care for long-term conditions such as diabetes was being managed effectively in the community and care was provided in partnership with other specialist and community services.
• 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.
• Patients said they found it easy to make an appointment. Feedback was positive about access to the service, with scores being in line with or better than other practices in Westminster for this aspect of care.
• 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. Staff told us they were well supported and had access to the training they needed to develop in their role.

However there was one area of practice where the provider should make improvements. The provider should:

• Review how it evidences that patients have given informed consent, particularly for procedures that carry greater risk of adverse outcomes, such as ear irrigation.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice