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Inspection carried out on 05 September 2019

During a routine inspection

We carried out an announced comprehensive inspection at The Brook Surgery Limited on 05 September 2019 as part of our ratings inspection programme for Independent Health Providers.

The service has two registered managers, both of whom are doctors at the service. A registered manager is a person who is registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting

the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The Brook Surgery is a private doctor service based in the Golders Green area of North London. The service offers GP appointments, home visits, healthcare management, child vaccinations, travel vaccine clinic, flu vaccine clinic, well woman clinic, cryotherapy, healthcare screening and a private dispensary.

We received 36 completed care Quality Commission (CQC) comment cards, all of which were positive. Patients described the service as excellent, and referred to professional and efficient staff who were consistently attentive, friendly and considerate. There were no negative comments.

Our key findings were

:

  • There were systems in place to safeguard children and vulnerable adults from abuse and staff we spoke with knew how to identify and report safeguarding concerns. All staff had been trained to a level appropriate to their role.
  • The service had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service learned from them and improved their processes.
  • The service carried out staff checks on recruitment, including checks of professional registration where relevant.
  • Clinical staff we spoke with were aware of current evidence-based guidance and they had the skills, knowledge and experience to carry out their roles.
  • There was evidence of quality improvement, including clinical audit.
  • Consent procedures were in place and these were in line with legal requirements.
  • Systems were in place to protect personal information about patients. The service was registered with the Information Commissioner’s Office (ICO).
  • Patients were able to access care and treatment from the clinic within an appropriate timescale for their needs.
  • Information about services, fees and membership options as well as the complaints process were available in the waiting area and online.
  • The service had proactively gathered feedback from patients.
  • Governance arrangements were in place. There were clear responsibilities, roles and systems of accountability to support good governance and management.

The areas where the provider should make improvements are:

  • Review systems used to manage personnel records to ensure managers can be assured all required checks are in place and required mandatory training is up to date.

Dr Rosie Benneyworth BM BS BMedSci MRCGP


Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 16 May 2018

During a routine inspection

We carried out an announced comprehensive inspection on 16 May 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and Regulations associated with the Health and Social Care Act 2008.

The Brook Surgery is an independent health doctor service based in North London.

Our key findings were:

  • There were systems in place for acting on significant events and complaints.
  • There were systems in place to assess, monitor and manage risks to the premises and patient safety.
  • There were arrangements in place to protect children and vulnerable adults from abuse.
  • Staff had received essential training and adequate recruitment and monitoring information was held for all staff.
  • Care and treatment was provided in accordance with current guidelines.
  • Patient feedback indicated that staff were caring and appointments were easily accessible.
  • There was a clear vision and strategy and an open and supportive culture.

There were areas of practice where the provider should make an improvement. The provider should:

  • Review standard operating procedures and polices and ensure they reflect current practice in the dispensary.
  • Review the arrangments of the monitoring of prescription pads