This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive/focused inspection at Grays Inn Medical Practice on 16 October 2018. This inspection was undertaken as part of our inspection programme.

The previously registered and inspected service at this location, also known as Grays Inn Medical Practice, ceased providing services in March 2018.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• There was a clear management structure in place and staff had lead roles in practice service delivery. The practice team worked well together and practice governance processes were comprehensive.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice had undergone a change of leadership within the previous twelve months and had not yet developed a programme of quality improvement activity to ensure that care and treatment was delivered according to evidence-based guidelines.
• There was a clear vision and leaders were able to describe a set of guiding principles around which it structured its services. The practice had a realistic strategy and supporting business plans to achieve priorities.

The areas where the provider should make improvements are:

• Ensure that fire risk assessments are carried out at suitable intervals
• Continue to ensure systems in place to monitor the health of all patients prescribed high-risk medicines are consistently followed.
• Put a system in place to maintain a record of all patient safety alerts received and the actions taken as a result.
• Ensure that plans to develop a programme of quality improvement activity are followed through.
• Continue to review uptake rates for public health screening programmes with a view to bringing about further improvements.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.