The Care Quality Commission
  • Doctor
  • GP practice

Eden Park Surgery

Overall: Good read more about inspection ratings

194 Croydon Road, Beckenham, Kent, BR3 4DQ (020) 8650 1274

Provided and run by:
Eden Park Surgery

All Inspections

9 January 2024

During an inspection looking at part of the service

We carried out a targeted assessment of Eden Park Surgery in relation to the responsive key question. This assessment was carried out on 9 January 2024 without a site visit. We rated the key question of responsive as Good.

As the other domains were not reviewed during this assessment, the rating of good will be carried forward from the previous inspection and the overall rating of the service will remain 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 Eden Park Surgery on our website at www.cqc.org.uk

Why we carried out this assessment

This inspection was a targeted assessment of the key question of responsive.

How we carried out the assessment

This inspection was carried remotely. This included:

  • Conducting staff interviews using video conferencing.
  • Requesting evidence from the provider.
  • Speaking to members of the Patient Participation Group (PPG).

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we carried the assessment
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We found that:

  • Patients could access care and treatment in a timely way.
  • National GP patient survey results relating to access were above national averages.
  • The provider had systems in place to monitor patient feedback and identify areas for improvement. Improvement plans were implemented in response to these activities.
  • The provider had identified complaints that had not been appropriately logged or responded to in a timely manner. We saw evidence at that this shortfall had been addressed and complaints were being logged and satisfactorily handled at the time of this assessment.

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

  • Continue to monitor and review the practice complaints process to ensure it remains effective.

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

During a routine inspection

We carried out an announced comprehensive inspection at Eden Park Surgery on 27 February 2019 as part of our inspection programme.

At the last inspection in December 2017 we rated the practice as requires improvement for providing effective services because:

  • Staff were not actively monitoring quality improvement for patients with long term conditions and mental health.
  • Not all staff had conducted fire training, infection control training, safeguarding and mental capacity training.

At this inspection, we found that the provider had satisfactorily addressed these areas.

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 have rated this practice as good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • We saw no evidence that there was a system in place for reviewing the nurse prescriber audits.
  • Audits were undertaken, however the system for undertaking antimicrobial audits was not sufficient.
  • The system for contacting patients with mild abnormalities pathology results needed reviewing.
  • The practice had not undertaken an internal patient survey.
  • A number of documents could not be found on the day of the inspection e.g. significant events policy, legionella risk assessment, however these were provided shortly after the inspection.


There were areas where the provider should make improvements are:

  • Continue to review/monitor smoking status for patients.
  • Continue to review ways to improve antimicrobial auditing.
  • Continue to review and improve performance for patients with long term conditions and mental health problems.
  • Review system for non-medical prescribers’ audits.
  • Review system for obtaining opinions of patients.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

19 December 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. The practice was previously inspected on 21 January 2015 and rated Good.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) – Good

We carried out an announced comprehensive inspection at Eden Park Surgery on 21 January 2015 as part of our inspection programme. The overall rating for the practice was good. The full comprehensive report for 21 January 2015 can be found by selecting the ‘all reports’ link for Eden Park Surgery on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 19 December 2017. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014 as part of our inspection programme.

At this inspection we found:

  • There was continuity of care for patients, as the practice provided a daily walk in service between 10.30am to 11.15am, where any patient could be seen.

  • The practice never used locums.

  • The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided.

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.

  • Staff involved and treated patients with compassion, kindness, dignity and respect.

  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.

  • Patients told us that all staff at the practice were supportive and the care they received was excellent. Access to the service was good and patients told us they could book routine and emergency appointments when needed

The areas where the provider must make improvements are:

  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Continue to review and improve how patients with caring responsibilities are identified and recorded on the clinical system to ensure that information, advice and support is made available to them.

  • Review the frequency of testing electrical equipment.

  • Review the safety of the storing of patient records.

  • Review conducting staff meetings and documenting them.

  • Review accessibility for patients with hearing impairment.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

21 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Eden Park Surgery on 21 January 2015.

We found the practice to be good for providing safe, well-led, effective, caring and responsive services. It was also good for providing services for the 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 in vulnerable circumstances and people experiencing poor mental health.

Our key inspection findings were as follows:

  • There were systems in place for reporting, recording and monitoring significant events to help provide improved care.
  • Staff were clear of their roles in regards to monitoring and reporting of incidents, safeguarding vulnerable people and children, and following infection prevention and control guidelines.
  • Staff shared best practice through internal arrangements and meetings and also by sharing knowledge and expertise with external consultants and other GP practices.
  • There was a strong multidisciplinary input in the service delivery to improve patient outcomes.
  • Feedback from patients about their care and treatment was very positive.
  • The practice was responsive to the needs of vulnerable patients and there was a strong focus on caring and on the provision of patient-centred care.
  • The practice provided patients with information on health promotion and ill health prevention services available in the practice and the local community.
  • The practice has a clear vision and strategic direction which was to improve the health, well-being and lives of those that they care for at the practice. Staff were suitably supported and patient care and safety was a high priority.

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

Importantly the provider should

  • Ensure all practice staff are involved with and participate in meetings, the sharing of information and learning as a result of complaints and significant events.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice