Chatham Street Surgery is still breaching quality regulations, according to a follow-up inspection.
In a report published on 13 September 2019, the Care Quality Commission said it had ordered the practice to make improvements, after finding:
- Patients were waiting a long time past their appointment time to be seen, on the day of the inspection, and previous actions to reduce delays, sometimes of more than an hour, had not been effective
- There were 189 tasks outstanding relating to letters and results received by the surgery about patients, and 169 documents awaiting scanning on the day of the inspection and no systems in place to mitigate the risk of inadequate processing of correspondence
- Two clinicians had been hired and were working unsupervised before the surgery had confirmed full DBS background checks
- Newly recruited reception staff did not know where emergency medicines and equipment were kept and were not aware of sepsis symptoms
- Newly recruited nursing staff were unsure how to quickly call for help if needed.
Overall, the CQC has kept the surgery’s rating ‘requires improvement’ – the same as after a previous visit in February 2019, with main concerns around leadership and effectiveness. The CQC rates the surgery as ‘good’ in the category of being caring to patients.
The CQC is the national independent body that inspects all NHS services and can legally compel organisations to make improvements.