The Broomwood Road Surgery

Updated 31 May 2018

The Broomwood Road Surgery is located in St Pauls Cray in Orpington Kent. At the time of our inspection, the practice had 10,132 registered patients. The practice is a member of the Bromley Clinical Commissioning Group (CCG).

The practice operates from a newly established purpose built building operating over two floors, with lift access. There are eight consulting rooms on the ground floor and four on the first floor plus a treatment room. There are two toilets on the ground floor including a patient accessible toilet, one on the first floor. There are two waiting areas, one on the ground floor and one on the first floor. There is one baby changing room and a room for breast feeding.

The staff team consists of two part time GP partners both female, two salaried GPs one male, one female, two female nurses, two female health care assistant, a pharmacist, a practice manager, a deputy practice manager, a reception manager and a team of administrative and reception staff.

The Broomwood Road Surgery is a training practice. At the time of our inspection there was one GP registrar being trained at the practice.

The Broomwood Road Surgery is registered with the Care Quality Commission (CQC) to carry on the regulated activities of diagnostic and screening procedures, family planning services, maternity and midwifery services, and treatment of disease, disorder or injury. The practice provides general practice services under a General Medical Services (GMS) contract.

Appointments are available Mondays to Fridays between 8:30am and 12pm, then between 2pm and 6pm. The surgery is open daily from 8am to 6:30pm.

The practice has opted out of providing out-of-hours services to their own patients. When the practice is closed, patients are directed to the out of hours provider, EMDOC,via NHS 111.

Updated 31 May 2018

We previously carried out an announced comprehensive inspection at The Broomwood Road Surgery on 28 June 2017 as part of our inspection programme. The overall rating for the practice was requires improvement. The full comprehensive report for 28 June 2017 can be found by selecting the ‘all reports’ link for The Broomwood Road Surgery on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 28 March 2018. 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.

Overall the practice is now rated as Good.

Our key findings were as follows:

• Systems and processes had been reviewed to ensure good governance, all staff had completed role specific training. Since the last inspection the practice had changed their training process, they had set up a mandatory/recommended training matrix for all staff which recorded role specific training.

• There was a process for logging and recording prescription pads and forms.

  • Consent procedures had been reviewed against legislative requirements.

  • Arrangements had been reviewed for the appropriate disposal of sharps.

  • The practice had systems in place to manage significant events; however, they were not always recorded.

  • Although the practice had a safety alert system, not all alerts were followed up; however, after the inspection the practice provided an updated protocol for reviewing alerts.

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

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

  • The practice had a designated care coordinator for vulnerable patients, and patients with complex needs all patients were given a direct phone number for the care coordinator which gave them easy access to contact the surgery.

  • Patients we spoke with said they found it difficult to make an appointment with a named GP and there was lack of continuity of care; however, urgent appointments were available the same day.

  • The service installed free Wifi for patients and got staff members to show patients how to book appointments on line.

We saw areas of outstanding practice:

The practice organised a patient/community event called “New year, New you day” on 18 January 2018 to target all patients to become healthier socially, emotionally, mentally and physically. They had stalls throughout the practice such as Bromley mental health, Weight Watchers, MIND (a mental health charity) and a local paramedic team; 109 patients attended. The practice arranged for a gym to attend, they undertook health checks, and signposted patients. As a result of the event they carried out 24 health checks, referred two patients for smoking cessation and six patients to Weight Watchers. Following on from the “New year, New you day” the practice also set up weekly walks/runs from the practice for all patients every Wednesday afternoon and Saturday morning. At the time of inspection the practice had seven patients attending each week.

The areas where the provider should make improvements are:

• Review record keeping of all significant events to ensure they are always documented.

• Review processes for monitoring that patient results are actioned in a timely manner.

• Review installing an external thermometer for medicine stored at room temperature.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 31 May 2018

Updated 31 May 2018

Updated 31 May 2018

Updated 31 May 2018

Updated 31 May 2018

Updated 31 May 2018