Winchmore Surgery in Winchmore Hill, London is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 7th May 2020
Winchmore Surgery is managed by Winchmore Surgery.
Contact Details:
Address:
Winchmore Surgery 808 Green Lanes Winchmore Hill London N21 2SA United Kingdom
Letter from the Chief Inspector of General Practice
This inspection was an unannounced focused inspection undertaken on 27 September 2017. The inspection was carried out in response to concerns arising from information received by the Commission. This information included concerns around the management of patient related correspondence as well as concerns around how significant events were identified, recorded and investigated. There were also concerns around the number of GPs employed at the practice, patient access to GP appointments and other services and concerns that staff morale had been adversely affected by recent changes at the practice and was impacting on patient care.
This report covers our findings in relation to those concerns.
Overall the practice is still rated as good.
Our key findings were as follows:
There were systems in place to ensure that patient correspondence was managed in a timely manner.
There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
Although a number of experienced GPs had left the practice in recent years, these were mostly due to planned retirements and the practice had been able to recruit salaried GPs who had trained at the practice to these vacancies.
Results from the national GP patient survey published in July 2017 showed that patient’s satisfaction with how they could access care and treatment was comparable to local and national averages.
Appointments were available on the day of the inspection and staff we spoke with told us that access to appointments was a strength of the practice.
The practice offered extended hours on a Monday and Wednesday evening until 8.00pm for working patients who could not attend during normal opening hours.
The practice had a mission statement which was displayed in the waiting areas and staff knew and understood the values.
The practice had a clear strategy and supporting business plans which reflected the vision and values and were regularly monitored.
There was an open culture within the practice but not all staff we spoke with felt that their views were taken into account.
Practice meetings were divided into clinical and non-clinical staff, some staff we spoke with told us the absence of whole practice meetings meant communications between clinical and non-clinical staff were not always effective.
However, there were also areas of practice where the provider should make improvements.
Consider taking steps to improve communication between practice management and staff as well as between clinical staff and non-clinical staff.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Winchmore Surgery on 11 November 2015. The overall rating for the practice was good with safe rated as requires improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Winchmore Surgery our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 22 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 11 November 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings were as follows:
All relevant staff had undertaken basic life support training to the appropriate level in accordance with UK Resuscitation Council guidelines
All emergency equipment had been regularly tested to ensure it was in good working order.
Checklists and cleaning schedules for the practice had been reviewed and followed NHS guidelines.
Written references for recruitment of all staff are were in place.
Staff annual appraisal had been undertaken.
Complaints were acknowledged in accordance with the timescales outlined in the practice's complaints policies and procedures.
Patients wanting to access their preferred GP could book in person, online and via telephone. In addition, patients could leave messages for their GP’s and call backs were arranged.
At our previous inspection on 11 November 2015, we rated the practice as requires improvement for providing safe services as not all staff had undertaken basic life support training. At this inspection we found all relevant staff had undertaken annual basic life support training to the appropriate level. Consequently, the practice is rated as good for providing safe services.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Winchmore Surgery on 11 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.
Risks to patients were assessed and well managed.
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; 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 that all staff undertake basic life support training to the appropriate level in accordance with UK Resuscitation Council guidelines.
In addition the provider should:
Ensure that all emergency equipment is regularly tested to ensure it is in good working order.
Ensure that the practice follows NHS guidelines in relation to infection control.Specifically, checklists and cleaning schedules for each area of the practice; highlighting frequency, how and what to be cleaned and with what equipment.
Obtain written references for recruitment of all staff.
Ensure that all staff receive an annual appraisal.
Ensure that all complaints are acknowledged in accordance with the timescales outlined in the practice's complaints policies and procedures.
Look at ways to improve access for patients wanting to see their preferred GP
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.
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