Updated 18 December 2023
Evergreen Practice is a NHS GP practice which provides primary care services to patients from one location in Bracknell, East Berkshire. We carried out a focussed assessment between 22 January and 1 February 2024. We requested evidence from the practice, carried out remote interviews of staff and remote searches of the practices’ clinical system. The assessment also included a site visit. The assessment included 8 quality statements from 4 key questions which included safe, effective, responsive and well-led. The service is currently rated good overall and good for the following key questions: safe, effective, caring, and responsive. However, the key question of well-led is rated requires improvement. During our assessment we found the following: • Patients could request appointments in a way that met their needs, for example, online, telephone or face to face. • Patients were able to access care and treatment in a timely manner. • Vulnerable patients were prioritised for care and treatment. • We found no evidence of missed diagnosis for diabetes or chronic kidney disease stages 3, 4 or 5. • There was a lack of clear governance arrangements between the practice and the Primary Care Network (PCN) where PCN staff worked at the practice. • There was a lack of effective processes to manage medicines safety alerts from the Medicines and Healthcare products Agency. • Processes to manage significant event activity were not sufficiently embedded to ensure they were completely effective. • Systems to record and monitor risk did not include control measures to mitigate or reduce risks and opportunities to record risks had not been taken in all cases. During our assessment of this practice, we found concerns around governance processes within the practice which resulted in a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can find more details of our concerns in the key question findings below.