The Care Quality Commission
  • Doctor
  • GP practice

Eversley Medical Centre

Overall: Good read more about inspection ratings

501 London Road, Thornton Heath, Surrey, CR7 6AR (020) 8684 1172

Provided and run by:
Eversley Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

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

12 November 2019

During an annual regulatory review

We reviewed the information available to us about Eversley Medical Centre on 12 November 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.

12 September 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 Eversley Medical Centre on 23 November 2016. The overall rating for the practice was good, with a rating of requires improvement for the key question ‘Are services responsive to people’s needs?’

The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Eversley Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 12 September 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 23 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good (for all key questions).

Our key findings were as follows:

  • Complaints handling had improved. The policy was now in line with recognised guidance and contractual obligations and the complaints we reviewed had been managed in line with the new policy.
  • The practice was monitoring and taking action to improve patient satisfaction with aspects of access, particularly by telephone.

In response to our recommendations, the practice had also:

  • Carried out an audit of patients on high risk medications.
  • Created a new system to monitor the care of patients with diabetes and an improved recall and care planning system. We saw positive feedback from a patient about this system. The practice had also run group consultations for six patients with diabetes. Evidence from the practice showed that all six patients had improved control of their diabetes (measured by HbA1C) and would recommend the approach to a friend.
  • Developed a new system for recalling patients for cervical screening, which included making appointments for eligible patients to have screening when in the practice for another appointment (to increase the likelihood of attendance) and creating telephone consultation slots for nurses to contact patients who are reluctant to be tested. Data showed that this was beginning to improve uptake, with a 2% improvement so far.
  • Developed a consistent system of review of policies to ensure that they remain complete and in line with latest best practice. Details of two examples were provided, including how the updated policies were shared with staff.
  • Strengthened systems to improve uptake of breast and bowel screening, with letters and structured phone consultations for patients who did attend.

Following this inspection, the practice should:

  • Continue to monitor and act on patient feedback on telephone access.
  • Continue to monitor and take action to improve care and outcomes for patients with diabetes and the uptake of cancer screening (bowel, breast and cervical).

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

23 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Eversley Medical Centre on 23 November 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.
  • 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 involved in their care and decisions about their treatment.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • 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 policies, including the complaints policy, are consistently followed.

The areas where the provider should make improvement are:

  • Implement a system to keep risks under review, to ensure that they remain well-managed.Continue to monitor and take action to improve care and outcomes for patients with diabetes and the uptake of cancer screening.

  • Continue to monitor and take action monitor and act on patient feedback on telephone access.

  • Implement a system of regular review of policies to ensure that they are complete and in line with latest best practice.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice