The Care Quality Commission
  • Doctor
  • GP practice

The Edmonton Medical Practice

Overall: Good read more about inspection ratings

234 Fore Street, London, N18 2LY (020) 8803 6705

Provided and run by:
Dr Ghazwan Suleiman

Important: The provider of this service changed - see old profile

All Inspections

During an assessment under our new approach

The Edmonton Medical Practice is a GP practice that delivers services to approximately 3,900 patients under a contract held with NHS England. National GP profiles state the ethnic makeup of the practice area is 36.9% White,12.6% Asian, 30.4% Black, 5.3% Mixed and 14.6% Other. Information published by the Office for Health Improvement and Disparities shows that the deprivation within the practice population is in the second lowest decile (2 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working in and how this impacted service delivery. Where relevant, further commentary is provided in the quality statement section of this report.

People and staff were kept safe and protected with incidents and complaints investigated. Learning outcomes were discussed. There was a robust Infection Prevention and Control (IPC) system with regular audits. Staff received regular training and appraisals. Staff managed medicines well and involved people in planning and changes.

People were involved in assessments of their needs. Regular health checks and reviews took place. Evidence based care in line with good practice was delivered. The service worked with other agencies to enable good outcomes of care. People made informed decisions about their health.

People were treated with kindness and compassion. Dignity and privacy were respected. A chaperone service was provided to those who requested it.

People were involved in decisions about their care and information needed to make a decision was provided. Interpretation services were available. Complaints were handled appropriately.

Leaders and staff had a shared vision and culture. Leaders understood equality, human rights and safe compassionate care. Staff understood their roles and responsibilities, however some expressed concern over supervision.

The provider was previously inspected in 2016 under our old methodology and was rated good.

14 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We undertook an announced focussed inspection of Edmonton Medical Practice on 14 July 2016. We found the practice to be good for providing safe and well led services and it is rated as good overall.

We had previously conducted an announced comprehensive inspection of the practice on 17 December 2015. As a result of our findings during the visit, the practice was rated as good for being effective, caring and responsive, and requires improvement for being safe and well led, which resulted in a rating of requires improvement overall. We found that the provider had breached three regulations of the Health and Social Care Act 2008; Regulation 15 (1) (e) premises and equipment, Regulation 18 (2) (a) staffing and Regulation 19 (1) and (2) fit and proper persons employed.

The practice wrote to us to tell us what they would do to make improvements and meet the legal requirements. We undertook this focussed inspection to check that the practice had followed their plan, and to confirm that they had met the legal requirements.

This report only covers our findings in relation to those areas where requirements had not been met. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for the Edmonton Medical Practice on our website at http://www.cqc.org.uk/location/1-1245401210/reports. Our key findings across all the areas we inspected were as follows:

  • Practice recruitment policies had been updated to include the obtaining of references.

  • All staff had undertaken safeguarding and infection control training.

  • All portable electrical equipment had been recently tested.

  • All staff who undertook chaperone duties had been trained and received a Disclosure and Barring Service (DBS) check.

  • All patient group directions (PGD’s) were up to date and appropriately signed.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

17 December 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Edmonton Medical Practice on 17 December 2015. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
  • Not all staff had received mandatory training in safeguarding and infection control.
  • Data showed patient outcomes were average for the locality. Clinical audits had been carried out, and we saw evidence that audits were driving improvement in performance to improve patient outcomes.
  • Patients said they were treated with compassion, dignity and respect.
  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies and procedures to govern activity; however policies were out of date (including child protection (2010) and vulnerable adults (2008), safety checks were not carried out in accordance with the policy and patient specific directions were in need of renewal.
  • The practice had sought feedback from patients and had an active patient participation group.

The areas where the provider must make improvements are:

  • Ensure that staff receive appropriate training for their role, including safeguarding and infection control training.

  • Ensure pre-employment checks are carried out for staff.

  • Ensure portable electrical equipment is tested and appropriately maintained.

In addition the provider should:

  • Update practice policies to ensure key information is up to date, for example the contact details of external safeguarding teams.

  • Implement cleaning schedules to monitor cleaning standards and ensure an action plan is followed following the recent infection control audit.

  • Ensure all Patient specific directions are up to date.

  • Review the level of risk that staff undertake and apply for Disclosure and Barring Service (DBS) checks as appropriate.

  • Develop online services to improve access for patients.

  • Provide a defibrillator or ensure a risk assessment has been undertaken to address the reasons for not providing one.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice