This practice is rated as Good overall. (First inspection since re-registration)

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 inspection at Primrose Hill Surgery on 31 October 2018, as part of our inspection programme.

The previously registered and inspected service at this location, Primrose Hill Surgery, was a partnership that de-registered from the Care Quality Commission (CQC) on 6 April 2018. The full comprehensive reports on inspections of the practice under the previous registration in April 2014, June 2016 and January 2018 can be found on our website at .

The current service, also named Primrose Hill Surgery, was registered with CQC with a sole principal GP on 4 April 2018. The principal GP is one of the former partners in the previous service, the other having left the practice.

At this inspection we found:

• Reception staff were unable to describe the symptoms of sepsis nor was the practice displaying a poster in the reception area to assist with identifying the symptoms. Following our inspection, the practice took action to rectify these issues.
• 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.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Leaders at all levels were visible and approachable. They worked closely with staff and others to make sure they prioritised compassionate and inclusive leadership.
• Staff communicated with people in a way that they could understand, for example, communication aids and easy read materials were available.
• Telephone consultations were available which supported patients who were unable to attend the practice during normal working hours.

The areas where the provider should make improvements are:

• Ensure that non-clinical staff receive appropriate training and updates to enable them to identify the possible symptoms of sepsis.
• Continue to work to improve uptake, by eligible patients, of its cervical, breast and bowel cancer screening programmes.

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.