The Care Quality Commission
  • Doctor
  • GP practice

Broadwater Medical Centre

Overall: Good read more about inspection ratings

5-11 Broadwater Boulevard, Worthing, West Sussex, BN14 8JE (01903) 826926

Provided and run by:
Broadwater 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 Broadwater 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 Broadwater Medical Centre, you can give feedback on this service.

16 November 2019

During an annual regulatory review

We reviewed the information available to us about Broadwater Medical Centre on 16 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.

2 February 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

The practice was rated requires improvement overall and is now rated good overall and good for providing safe, effective and well-led services.

We carried out an announced comprehensive inspection of this practice on 14 July 2016. A breach of legal requirements was found during that inspection within the safe, effective and well led domains. After the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the legal requirements. We conducted a focused inspection on 2 February 2017 to check that the provider had followed their action plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

During our previous inspection on 14 July 2016 we found the following areas where the practice must improve:

  • Implement systems for assessing, monitoring and acting on risks in relation to the health and safety of patients, staff and visitors.
  • Implement systems to ensure the safe management of medicines.
  • Develop and implement an on-going audit programme that demonstrates continuous improvements to patient care in a range of clinical areas. Ensure there are at least two cycles of clinical audit.
  • Ensure that all clinical staff receive up to date training on the Mental Capacity Act 2005.

Our previous report also highlighted the following areas where the practice should improve:

  • Ensure that information about how to complain is clearly displayed in the reception and waiting areas.
  • Put measures in place to increase the number of carers known to the practice in order to ensure they receive appropriate support.
  • Ensure that all staff who undertake chaperone duties have undergone appropriate recruitment checks.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

During the inspection on 2 February 2017 we found:

  • That the practice had undertaken a comprehensive health and safety risk assessment of the building and that health and safety risks identified at our last inspection had been addressed.
  • Arrangements were in place for the safe management of medicines.
  • The practice had undertaken three first cycle audits since our last inspection and was in the process of developing an audit plan for the next year.
  • All clinical staff had undertaken training on the Mental Capacity Act 2005.

We also found in relation to the areas where the practice should improve:

  • Details about how to make comments, suggestions and complaints were clearly displayed in the waiting areas.
  • All staff who undertook chaperone duties had undergone appropriate recruitment checks which included a Disclosure and Barring Service (DBS) check. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable.
  • The practice had implemented a number of measures to increase the numbers of carers known to the practice. This included asking patients to update their carer status on the consent forms for flu vaccinations and being more vigilant when taking patient details. As a result the practice had identified 52 more carers since our last inspection.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

14 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Broadwater Medical Centre on 14 July 2016. Overall the practice is rated as requires improvement.

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 not always assessed and well managed. For example in relation to the health and safety of staff, patients and visitors and the safe management of medicines.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. However, there was limited evidence to show that clinical audits had been undertaken and that quality improvement had been demonstrated.
  • Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment. However, some clinical staff had not had training and had limited understanding of the Mental Capacity Act 2005.
  • Patients said they were treated with compassion, dignity and respect and they were 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 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 sought feedback from staff and patients.

The areas where the provider must make improvement are:

  • Implement systems for assessing, monitoring and acting on risks in relation to the health and safety of patients, staff and visitors.
  • Implement systems to ensure the safe management of medicines.
  • Develop and implement an on-going audit programme that demonstrates continuous improvements to patient care in a range of clinical areas. Ensure there are at least two cycles of clinical audit
  • Ensure that all clinical staff receive up to date training on the Mental Capacity Act 2005.

The areas where the provider should make improvement are:

  • Ensure that information about how to complain is clearly displayed in the reception and waiting areas.
  • Put measures in place to increase the number of carers known to the practice in order to ensure they receive appropriate support.
  • Ensure that all staff who undertake chaperone duties have undergone appropriate recruitment checks.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice