The Care Quality Commission
  • Doctor
  • GP practice

Country Park Practice

Overall: Good read more about inspection ratings

Woodside Health Centre, 3 Enmore Road, London, SE25 5NT (020) 3764 0664

Provided and run by:
Greenwood Group

All Inspections

6 July 2023

During a monthly review of our data

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

Review dates 25 - 27 January 2023

During an inspection looking at part of the service

We carried out an announced focused review at Country Park Practice 25 – 27 January 2023. Overall the practice is rated as good.

Safe - not inspected, rating of good carried forward from previous inspection

Effective - good

Caring - not inspected, rating of good carried forward from previous inspection

Responsive - not inspected, rating of good carried forward from previous inspection

Well-led - not inspected, rating of good carried forward from previous inspection

Following our previous inspection in 2021, the practice was rated good overall and for all key questions apart from effective.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Country Park Practice on our website at www.cqc.org.uk

Why we carried out this review

We carried out this review to follow up areas for improvement from a previous inspection.

These were mainly in the effective key question. We also checked on actions we said, in the last report, that the practice should take.

How we carried out the review

This review was carried out in a way which enabled us to gather evidence without a site visit. This included requesting evidence from the provider and telephone discussions with staff.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We found that:

  • The practice had reviewed and improved the process for recording and monitoring appraisals. Staff had received appraisals.
  • Although the uptake of cervical screening and childhood immunisations were still below target, the practice had action plans in place, which were being monitored, with additional strategies being considered if actions underway did not increase uptake satisfactorily.

At the last inspection, we said that the practice should:

  • take action to increase the number of carers identified, in order that they can provide support to these patients
  • review arrangements for meeting with the patient participation group.

At this inspection, the practice told us that they had carried out a specific piece of work to identify more carers and to align the practice approach to their care to national guidance. The practice told us there were now 101 patients on the Carers Register and described the support being provided, including 81% uptake by carers of health checks.

The practice told us that the patient participation group had resumed meeting, currently monthly, with a plan to move to a quarterly schedule later in 2023. The practice shared some of the topics discussed with the group recently. The practice had also hosted a Community Fayre in October 2020, at the same time as the flu clinic. A number of local health and community groups participated and gave information to the 200+ patients who attended.

Whilst we found no breaches of regulations, the provider should:

  • Continue with work to increase the number of patients identified as having caring responsibilities so that they can be offered support.
  • Continue with work to improve uptake of childhood immunisations and cervical screening.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

08 July 2021

During a routine inspection

We carried out an announced inspection at Country Park Practice on 08 July 2021. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe – Good

Effective – Requires improvement

Caring – Good

Responsive – Good

Well-led – Good

Country Park Practice is a location registered by the Greenwood Group. Because of the way Country Park Practice was originally registered with the CQC, we previously inspected both Greenside Medical Practice and Country Park Practice locations together, on 08 May 2019. We rated Greenside Medical Practice RI overall.

This comprehensive inspection was of Country Park Practice location only but includes a review of the relevant findings from the previous inspection report which covered this site.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Greenside Medical Practice on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a comprehensive inspection to look at five key questions.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall and rated all population groups as Good in Effective, except Families, Children and Young People and Working age people which we rated as requires improvement because of the low childhood immunisation rates and low cervical screening uptake and the failure to take adequate action to improve them.

We found that:

  • Patients received effective care and treatment that met their needs.
  • Some performance data was below local and national averages. Uptake rates in 2019/20 for the vaccines given were below the World Health Organisation (WHO) target of 95% in the five areas where childhood immunisations are measured.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • We found evidence of quality improvement measures including clinical audits and reviews. There was evidence of action taken to change practice.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • We saw evidence of systems and processes for learning, continuous improvement and innovation.

Whilst we found no breaches of regulations, the provider should:

  • Continue to implement a programme to improve uptake for cervical screening and childhood immunisations.
  • Continue to ensure policies and procedures are followed; for example the appraisal policy.
  • Take action to increase the number of carers identified, in order that they can provide support to these patients.
  • Review arrangements for meeting with the patient participation group.

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