We carried out a review of the data available to us about Brooklands 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 Brooklands Medical Practice, you can give feedback on this service.
We previously carried out an inspection at Brooklands Medical Practice on 06/11/2018 as part of our inspection programme. We rated the practice as requires improvement for providing safe services and good overall.
The full comprehensive report following the inspection in November 2018 can be found on our website here: https://www.cqc.org.uk/location/1-545937960
At our inspection in November 2018, we rated the practice as requires improvement for providing safe services because:
We issued the provider with requirement notices for breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (safe care and treatment) and Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (staffing).
On 17 September 2019, we undertook a focussed inspection of the safe key question. We visited the practice to confirm it had carried out the plan to meet the legal requirements in relation to the two breaches of regulations identified in our previous inspection in November 2018. This report covers our findings in relation to those requirements.
We have rated this practice as good for providing safe services.
Additional improvements we found were:
These were areas where the provider should make improvement:
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
This practice is rated as good overall. (Previous rating August 2015 rated Good).
The key questions are rated as:
Are services safe? – Requires Improvement
Are services effective? - Good
Are services caring? - Good
Are services responsive? - Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Brooklands Medical Practice on 6 November 2018 as part of our inspection programme.
At this inspection we found:
Patient feedback, both on public websites, national independent surveys, CQC comment cards and directly to the inspection team was overwhelmingly very positive. Feedback indicated patients received a person-centred service and they could access with ease.
Patients found the appointment system easy to use and reported that they could access care when they needed it with a GP of their choice.
Staff involved and treated patients with compassion, kindness, dignity and respect.
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.
The practice had 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. However, some documentation in relation complaint records, logs of actions taken in response to patient safety alerts and recruitment records required improvement.
Action in relation to managing and mitigating health and safety risks required improvement. This included implementing fire safety procedures and ensuring staff were appropriately trained in health and safety and safeguarding.
We saw one area of outstanding practice:
The practice implemented a system of ensuring patients were seen quickly by a GP of their choice. GPs provided a maximum of four appointments each hour with 20 minutes allocated for administrative catch up duties. Patients were offered an appointment with their regular GP. Urgent appointments were available at midday each day and all GPs provided consultations with the patients they saw regularly to provide continuity of care. Patient feedback was consistently good about access to appointments, continuity of GP care and treatment and the welcoming attitude of the reception team.
The areas where the provider must make improvements as they are in breach of regulations are:
Ensure care and treatment is provided in a safe way to patients.
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.
The areas where the provider should make improvements are:
Maintain records of actions undertaken and the verbal feedback given to patients in response to their complaints.
Implement action to ensure recruitment records are comprehensively maintained including staff vaccination records and policies and procedures are reviewed at regular intervals.
Develop systems so that the management team are aware of and can access logs of patient safety alerts.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Brooklands Medical Practice on 23 July 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing well-led, effective, caring, responsive and safe services. It was also good for providing services for the populations groups we rate.
Our key findings across all the areas we inspected were as follows:
There were areas of practice where the provider needs to make improvements.
Importantly the provider should:
Chief Inspector of General Practice