We carried out a review of the data available to us about The Broomwood Road 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 The Broomwood Road Surgery, you can give feedback on this service.
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.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Broomwood Road Surgery on19 February 2015. The overall rating for the practice was good with requires improvement in the responsive key question. The full comprehensive report on the 19 February 2015 inspection 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 on 28 June 2017. Overall the practice is now rated as requires improvement.
Our key findings were as follows:
We saw one area of outstanding practice:
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
In addition the provider should:
Chief Inspector of General Practice
We carried out an announced comprehensive inspection of the practice on 19 February 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice did not submit their action plan. However we were sent the action plan in June 2016 ahead of the focussed inspection. The practice wrote to us to say what they would do to meet the legal requirements in relation to the breaches of regulation 17 (2)(a)(e) Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We undertook this desk-based focussed inspection on 13 June 2016 to check that they had followed their plan and to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for The Broomwood Road Surgery on our website at www.cqc.org.uk.
Overall the practice was rated as Good following the comprehensive inspection, however they were rated as requiring improvement for responsive services. They were also found to be requires improvement for working age people (including those recently retired and students). Specifically, following the focussed inspection we found the practice to remain as requires improvement for providing responsive services.
Our key findings across all the areas we inspected were as follows:
Importantly, the provider must:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
We undertook
a comprehensive inspection of The Broomwood Road Surgery on 19 February 2015.
We rated The Broomwood Road Surgery overall as Good. We rated it as Good for providing safe, effective, caring and well-led services. We rated it as requires improvement for providing responsive services. We rated The Broomwood Road Surgery as Good for providing services to Older people, People with long term conditions, Families, children and young people, People whose circumstances may make them vulnerable, and People experiencing poor mental health (including people with dementia). We rated it as requires improvement for providing services to Working age people (including those recently retired and students).
Our key findings were as follows:
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
In addition, the provider should:
Chief Inspector of General Practice