The Care Quality Commission
  • Doctor
  • GP practice

Dr Thusitha Gooneratne

Overall: Good read more about inspection ratings

1b Bramley Avenue, Coulsdon, Surrey, CR5 2DR (020) 8660 0193

Provided and run by:
Dr Thusitha Gooneratne

All Inspections

During an assessment under our new approach

Date of Assessment: 29/04/2026. Dr Thusitha Gooneratne is a GP practice and delivers services to approximately 2859 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 66% White, 17% Asian, 6% Mixed, 8% Black and 3% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 9th decile (9 of 10). The lower the decile, the more deprived the service population is relative to others.
This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
There were enough staff with the right skills, qualifications and experience. With a change in management, the service had recently identified weaknesses in how the service managed potential risks in the care environment. The service was making improvements and sent us an action plan showing how the outstanding issues would be addressed.
Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.
Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.
People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.
The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.
 

25 April 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 of the practice on 22 September 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of regulation 12(1) and 12(2) (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this desk-based focussed inspection on 25 April 2017 to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dr Thusitha Gooneratne on our website at www.cqc.org.uk.

Overall the practice is rated as Good. Specifically, following the focussed inspection we found the practice to be good for providing safe services.

Our key findings across all the areas we inspected were as follows:

  • Risks to patients were assessed and well-managed, including arrangements to deal with a range of medical emergencies.
  • All staff had undertaken infection control, information governance and Mental Capacity Act training appropriate to their role.
  • The practice had identified 0.6% (14 patients) of the practice list as carers, which is six more than they had identified during the inspection on 22 September 2016.

There were areas of the practice the provider should still make improvements:

  • Review practice procedures to ensure there are documented care plans especially for all patients with long term conditions.
  • Review systems in place to ensure that patients with a learning disability are regularly reviewed.
  • Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

22 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Thusitha Gooneratne/Bramley Avenue Surgery on 22 September 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.
  • Risks to patients were mostly assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment although not all clinical staff who undertook cervical screening had up to date training.
  • 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.
  • Patients said they found it easy to make an appointment with a named GP and that 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.

There were areas of practice where the provider must make improvements:

  • Ensure that the practice has a defibrillator available to respond to medical emergencies or to have completed a risk assessment identifying how they would deal with medical emergencies.

There were areas of practice where the provider should make improvements:

  • Review practice procedures to ensure all staff who undertake cervical screening have up to date training and that the reasons for inadequate smears are investigated.
  • Review practice procedures to ensure all clinical staff have mental capacity act training, infection control training and information governance training.
  • Review practice procedures to ensure all staff have regular appraisals.
  • Review practice procedures to ensure there are documented care plans for all patients with long term conditions.
  • Review systems in place to ensure that patients with a learning disability are regularly reviewed.
  • Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice