Streatfield Surgery in Kenton, Harrow is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 2nd December 2016
Streatfield Surgery is managed by Streatfield Surgery.
Contact Details:
Address:
Streatfield Surgery 1 Streatfield Road Kenton Harrow HA3 9BP United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection on Streatfield Surgery on the 18 November 2015. At the time, we found the practice was breaching legal requirements in relation to its recruitment and training and equipment and medicines check. The practice was rated as requires improvement for providing safe care. Following the comprehensive inspection, the practice submitted an action plan, outlining what they would do to ensure the care they provided was safe and met the legal standard required by CQC.
We undertook this focussed inspection on 1 September 2016 to check that the practice had followed their plan and to confirm that they were now providing safe care. This inspection did not include a visit to the practice. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Streatfield Surgery on our website at www.cqc.org.uk.
Overall the practice was rated as Good.
Following the focussed inspection we found the practice to be good for providing safe care.
Our key findings across all the areas we inspected were as follows:
The practice had carried out an electrical appliance test in September 2016, to ensure all electrical equipment were safe to use.
The practice had implemented a fridge temperature log for all fridges in the practice that stored medicines.
The practice had a formal induction programme for newly appointed staff and a practice specific recruitment policy, which specified the recruitment checks which were required and these were in line with the relevant guidance.
We saw newly appointed staff had pre-employment checks carried out as per guidance in Schedule 3, including written references and DBS checks (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).
We saw evidence of clinical staff having completed basic life support training in the past 12 months. The practice also provided us with a documented risk assessment carried out in line with the national resuscitation council. This showed that non-clinical staff did not received annual basic life support training but they were trained to recognise cardiorespiratory arrest and would be able to get help from a clinical member of staff to carry out CPR.
We saw evidence that a fire risk assessment and infection control audit was carried out by the GP partners and management team for the practice in the last 12 months. We saw any actions identified were recorded and documented to show improvements had been made.
The practice provided us with a sample of staff meeting minutes, which showed discussions that took place in meetings including outcomes and actions.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Streatfield Surgery, also known as Streatfield Health Centre, on 18 November 2015. 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.
Some risks to patients were assessed and well managed, with the exception of those relating to medicines management, recruitment and electrical equipment testing.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
Patients said they found it easy to make an appointment with a named GP and that 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.
The areas where the provider must make improvements are:
Ensure electrical equipment for providing care or treatment is tested to confirm it is safe for use.
Ensure the proper and safe management of refrigerated medicines, and have an audit trail of action taken when issues are identified.
Ensure effective recruitment procedures and pre-employment checks are carried out for permanent and temporary staff, and that records pertaining to these individuals are kept.
In addition the provider should:
Maintain a record of decisions and actions arising from practice meetings.
Review the latest infection control audit for accuracy.
Review national guidance relating to annual basic life support training for non-clinical staff.
Assess the risks of evacuating the property in the event of a fire.
We reviewed the information available to us about Streatfield Surgery on 4 May 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.