The Care Quality Commission
  • Doctor
  • GP practice

Keston Medical Practice

Overall: Good read more about inspection ratings

856 Brighton Road, Purley, Surrey, CR8 2YL (020) 8660 8292

Provided and run by:
Keston House Medical Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Keston Medical Practice 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 Keston Medical Practice, you can give feedback on this service.

8 October 2019

During an annual regulatory review

We reviewed the information available to us about Keston Medical Practice on 8 October 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.

25 April 2017

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 Keston Medical Practice on 18 May 2016. The overall rating for the practice was good, with requires improvement for safety. The full comprehensive report on 18 May 2016 inspection can be found by selecting the ‘all reports’ link for Keston Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 25 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 18 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice is now rated as good for all key questions.

Our key findings were as follows:

  • The practice had taken action on all of the areas identified for improvement.
  • Risks were well managed.
  • Staff had received appropriate checks upon recruitment and appropriate training.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

18 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Keston Medical Practice on 18 May 2016. 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 generally assessed and well managed, although some items that could cause harm to patients (emergency medicines and nitrogen) were stored unlocked in an area accessible to patients. Arrangements to prevent and control infections were in place, but appropriate staff training had not taken place.

    The last infection control audit took place in June 2015, and there were no immediate plans for the next audit, as there was no-one trained to undertake the audit.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were generally involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they generally found it easy to get same day appointments, but that getting an appointment with a named GP was more difficult and could mean waiting several weeks.
  • 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.

We saw one area of outstanding practice:

  • The practice initiated a system to improve engagement with staff at nursing homes where they looked after patients, as part of a local improvement scheme. The practice did an audit to assess the impact of the protocol, and found that GP time was being used more effectively, treatment was being provided in a more timely way and attendances at hospital accident and emergency (A&E) had reduced. In 2014 there were 25 A&E attendances from one nursing home. In 2015 this reduced to nine attendances. The protocol that the practice designed has now been adopted by the local Clinical Commissioning Group (CCG).

The areas where the provider must make improvements are:

  • Ensure that all staff receive regular infection control training appropriate to their role, and that annual audits are undertaken.
  • Ensure that items that could cause harm to patients, such as nitrogen and emergency medicines, are stored securely, and ensure that Disclosure and Barring Service (DBS) checks are carried out in line with guidance.

Areas where the practice should make improvements are:

  • Ensure that all staff members complete an induction programme and have an annual appraisal.
  • Continue to review end processes to monitor patients with diabetes and dementia.
  • Review the support and supervision arrangements for nurses in the practice.

Professor Steve Field

CBE FRCP FFPH FRCGP

Chief Inspector of General Practice