The Care Quality Commission
  • Doctor
  • GP practice

Dr Shivraj Chudha Also known as Blackfriars Medical Practice

Overall: Good read more about inspection ratings

Blackfriars Medical Centre,, 45 Colombo Street,, London, SE1 8EE (020) 7928 6216

Provided and run by:
Dr Shivraj Chudha

All Inspections

7 September 2023

During a routine inspection

We carried out an announced comprehensive inspection at Dr Shivraj Chudha between 5-7 September 2023. Overall, the practice is rated as good.

Safe - good

Effective – good

Caring - good

Responsive - good

Well-led - good

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Shivraj Chudha on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities.

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:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • 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 provided care in a way that kept patients safe and protected them from avoidable harm. However, it should ensure there is an effective process for actioning safety alerts.
  • Patients received effective care and treatment that met their needs. However, there was some areas that required improvement such as the uptake of childhood immunisations and cervical cancer screening.
  • The practice should ensure the patients’ medication reviews are fully recorded.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way, which was reflected in the latest results of the National Patient Survey.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

Whilst we found no breaches of regulations, the provider should:

  • Continue with work to increase the uptake of cervical cancer screening and childhood immunisations.
  • Take steps to establish an effective system for the management and actioning of safety alerts and embed the process into clinical practice.
  • Take action to guarantee that medication reviews are fully documented on patients’ records and the process is embedded into clinical practice.
  • Implement processes to gather patient feedback through in-house patient surveys.

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 Health Care

29 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Shivraj Chudha (also known as Blackfriars Medical Practice) on 29 April 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well led services. It was also good for providing services for the six population groups we report on: older people, people with long term conditions, Families, children and young people Working age people (including those recently retired and students) People whose circumstances may make them vulnerable and People experiencing poor mental health (including people with dementia).

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. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • 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 with a named GP 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.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

ensure that relevant health and safety assessments are completed in the recommended timeframe or make provision for alternative assessments to be completed

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice