We carried out an announced focused inspection at Tottenham Health Centre on 04 October 2022. Overall, the practice is rated as Good (carried forward from previous inspection).
The ratings for each key question were rated as:
Safe - Not inspected (rating of Good carried forward from previous inspection)
Effective - Requires improvement
Caring – Not inspected (rating of Good carried forward from previous inspection)
Responsive – Not inspected (rating of Good carried forward from previous inspection)
Well-led – Not inspected (rating of Good carried forward from previous inspection)
Following our previous inspection on 29 January 2019, the practice was rated Good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Tottenham Health Centre on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection to follow up concerns reported to us. The focus of the inspection included:
- Inspecting the Effective key question.
- Consideration of issues highlighted to Care Quality Commission.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Requesting evidence from the provider.
- A short site visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We found that:
- The practice had a number of gaps in recruitment files. For example, clinical staff did not always have a copy of their full immunisation history in their personnel file.
- Staff who were not British Nationals did not always have evidence in their recruitment files to show proof of their right to work which covered the duration of their employment at the practice.
- Staff did not always have the appropriate level of safeguarding training applicable to their role.
We found one breach of regulations. The provider must:
- Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services