Updated 14 May 2025
Date of Inspection: 20 to 25 June 2025. Earls Court Surgery is a GP practice delivering services to around 4,400 people under a contract held with NHS England. We carried out this inspection to follow-up on previous breaches of regulation. According to the available data, the ethnic make-up of the service area is 63.3% White, 14% Asian, 7.3% Black, 6.2% Mixed, and 9.2% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 5th decile (5 of 10). The lower the decile, the more deprived the service population is relative to others.
This assessment considered the demographics of the people using the service, the context the service was working in and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The service was not always managing medicines and prescribing safely. However, it had a positive learning culture and people could raise concerns. People were protected from abuse. The facilities and equipment met the needs of people, were clean and well-maintained and were risks mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care.
Staff reviewed people’s needs taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff made sure people understood their care and treatment to enable them to give informed consent. The service had improved its documentation of planning for people coming to the end of life and could show how it involved people and their families in decisions about their care. There remained scope to improve the uptake of childhood immunisations and cervical screening.
People were positive about the way they were treated at the service. We found staff protected people’s privacy and dignity. The service supported staff wellbeing.
The service provided information people could understand. People knew how to give feedback, and the service took feedback seriously and acted on it. The service ensured that people could access the service. People received fair and equal care and treatment. The service worked to reduce health and care inequalities.
Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. The service had improved its clinical record keeping but there remained gaps in the governance of medicines optimisation.
Since the last inspection, the service had made improvements and is no longer in breach of legal regulation for good governance. However, we found breaches of regulation in relation to safe care and treatment. We have asked the provider for an action plan in response to the concerns found at this assessment.