Updated 1 July 2025
Date of Assessment: 16 to 19 September 2025. Plumstead Health Centre PMS is a GP practice and delivers service to approximately 15,673 patients under a contract held with NHS England. The practice consisted of 2 sites; the main surgery located at Tewson Road, Plumstead SE18 1BH and a branch surgery located at 2 Garland Road, Plumstead, SE18 2AE. Patients could access services at both sites. The National General Practice Profiles states that the ethnic make up of the practice is 47.2% White, 23.6% Black, 18.4% Asian, 5.7% Mixed and 5.2% Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 5th decile (5 of 10). The lower the decile, the more deprived the practice population is relative to others. 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.
Safe: The practice did not always use learning from incidents to drive improvement. Risk assessments were not always carried out to ensure risks were understood and managed. The facilities and equipment appeared clean and well-maintained, however there was a lack of oversight of infection prevention and control arrangements. Patients did not always receive the necessary monitoring tests for their prescribed medicines.
Effective: Patients with long term conditions did not always receive the necessary monitoring tests for their condition based on the latest evidence and good practice. Staff made sure people understood their care and treatment to enable them to give informed consent.
Caring: Patients reported lower than average satisfaction regarding being treated with kindness, compassion and dignity and being treated as an individual. There was a practice improvement plan in place to address these concerns. People had choice in their care and treatment. The practice supported staff wellbeing.
Responsive: Patients had raised concerns with access to services. The practice had used this feedback to develop a practice improvement plan. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
Well-led: Staff were not aware of a shared vision or culture of the practice. Governance processes had failed to identify and mitigate all risks to staff and patients. Roles and responsibilities were not always clearly communicated to staff. Staff felt supported by practice leaders and able to raise concerns.
At this inspection we found breaches of regulation in relation to safe care and treatment and good governance. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.