The Care Quality Commission
  • Doctor
  • GP practice

Esher Green Surgery

Overall: Good read more about inspection ratings

Esher Green Drive, Esher, Surrey, KT10 8BX (01372) 462726

Provided and run by:
Esher Green Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Esher Green Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Esher Green Surgery, you can give feedback on this service.

28 June 2019

During an annual regulatory review

We reviewed the information available to us about Esher Green Surgery on 28 June 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

8 September 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Esher Green Surgery on 22 December 2015. The practice had been rated as good for effective, caring, responsive and well-led, however, required improvement in safe. After the comprehensive inspection, the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

  • Ensure that all recruitment checks were carried out and recorded as part of the staff recruitment process. This included retaining information for Disclosure and Barring Service (DBS) checks for those staff that need them, proof of identity, CV with full employment history and references and the completion of a risk assessment as to which staff required a criminal records check with the Disclosure and Barring Service (DBS).
  • Completing a legionella risk assessment.

In addition the provider should:

  • Ensure staff were aware of the business continuity plan.
  • Ensure there was improved dissemination of information of patient care plans when carried out by the Advanced Nurse Practitioner.
  • Ensure that the carpet in a treatment room was replaced with suitable flooring as specified in the practice refurbishment plan.

We undertook this announced focused inspection on 8 September 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. The provider was now meeting all requirements and is rated as good under the safe domain.

This report only covers our findings in relation to those requirements.

  • Staff recruitment files contained the relevant information and pre-employment checks had taken place. All staff had been risk assessed to see if their role required a DBS check.
  • A legionella risk assessment had taken place in December 2015.

In addition we saw evidence that the provider had:

  • Ensured all staff were aware of the business continuity plan and its location.
  • Ensured GP involvement in care plans carried out by the Advanced Nurse Practitioner.
  • Replaced the carpet in a treatment with suitable flooring.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

22 December 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Esher Green Surgery on 22nd December 2015. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed with the exception of those relating to a legionella risk assessment and staff recruitment.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • 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.
  • Urgent appointments were available on the day they were requested.
  • 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.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider must make improvement are:

  • Ensure that all recruitment checks are carried out and recorded as part of the staff recruitment process. This includes retaining information for Disclosure and Barring Service (DBS) checks for those staff that need them, proof of identity, CV with full employment history and references and to complete a risk assessment as to which staff require a criminal records check with the DBS.
  • Complete a legionella risk assessment.

In addition the provider should:

  • Ensure staff are aware of the business continuity plan.
  • Ensure there is improved dissemination of information of patient care plans when carried out by the Advanced Nurse Practitioner.
  • Ensure that the carpet in the treatment rooms are replaced with suitable flooring as specified in the practice refurbishment plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice