The watchdog found that Robin Hood Surgery in Anerley “requires improvement” in several areas during their inspection on November 24, 2023.
Robin Hood Surgery is a general practice clinic under the Bromley Integrated Care System, delivering personal medical services to around 4,000 patients.
The provider delivers activities including diagnostic and screening procedures, maternity and midwifery services, and treatment of disease.
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The CQC report shows that, while the surgery has been rated as Requires Improvement overall, some individual areas were categorised as Good, including whether services were safe, caring and well-led.
However, the services were found to need improvement in effectiveness and responsiveness.
Inspectors found that “the practice provided care in a way that kept patients safe and protected them from avoidable harm”.
However, gaps were identified in patient care as “patients were not always having the required monitoring”, and “staff were not always completing role specific training”.
While staff attitudes were commended, with inspectors observing that staff were “positive” and dealt with patients with “kindness and respect”, some systems in place were described by the report as ineffective.
The inspectors said: “The way the practice was led and managed promoted the delivery of high-quality, person-centre care.”
However, they added that the provider failed to “establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care”.
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A spokesperson from the NHS South East London Integrated Care Board said: “Robin Hood Surgery is committed to providing excellent quality care and has taken the findings of the inspection very seriously.
“NHS South East London Integrated Care Board and Robin Hood surgery are proactively working together to put in place actions over the coming weeks to ensure that all the areas of improvement as raised by CQC are addressed rapidly and fully.”
“It is positive to note that the CQC identified many areas of good practice and innovation.”
In order to meet legal regulations, the CQC said that Robin Hood Surgery should “take action to improve the identification of carers and support offered to them” and “review and analyse patient access to appointments”.
The GP surgery was also told by inspectors to improve their childhood immunisations rates and cervical screening uptake, which were below the national average.
Following this, Robin Hood Surgery must submit a report to the CQC outlining the action they plan to take to meet the legal requirements previously breached.
The clinic will have another inspection to assess whether the necessary improvements are made, ensuring the required standard of care is provided to its patients.
