The Care Quality Commission
  • Doctor
  • GP practice

Bersted Green Surgery

Overall: Good read more about inspection ratings

32 Durlston Drive, Bognor Regis, West Sussex, PO22 9TD (01243) 863022

Provided and run by:
Bersted Green Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Bersted Green Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Bersted Green Surgery, you can give feedback on this service.

24 December 2019

During an annual regulatory review

We reviewed the information available to us about Bersted Green Surgery on 24 December 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

7 November 2018

During a routine inspection

This practice is rated as Good overall. (Previous rating March 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at Bersted Green Surgery on 7 November 2018 on as part of our planned inspection programme.

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they could access care when they needed it. However, some patients reported that it could be difficult to get through to the practice on the phone.
  • The practice had good facilities and was well equipped to treat patients and meet their needs. The premises were clean and hygienic.
  • Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • Two of the GPs ran drop-in clinics for homeless patients. These were held at two local homeless centres, to encourage homeless patients to attend.

The areas where the provider should make improvements are:

  • Develop a central log of all significant events so that an overview and audit trail can be maintained.
  • Review ways to improve the uptake of cervical screening for eligible patients.
  • Review areas in the quality and outcomes framework (QOF) where exception reporting is high (Exception reporting is the removal of patients from QOF calculations where, for example, the patients are unable to attend a review meeting or certain medicines cannot be prescribed because of side effects). For example, mental health, asthma and chronic lung disease indicators.
  • Ensure that a patient participation group is established so that the practice can engage with a wider group of patients and utilise their feedback and support in improving services.
  • Make complaints literature and guidance widely available to patients and ensure it provides the name and contact details for the practice manager, NHS England, the parliamentary and health service ombudsman and independent advocacy and support services.
  • Continue to look at ways to improve staffing levels on reception and the telephones so patients get timely access to the service.

Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

1 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bersted Green Surgery on 1 March 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 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.
  • 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.

We observed the following areas of outstanding practice:

  • Care of young people: The business manager gave a presentation to a local sixth form to encourage and support younger patients in joining the patient participation group (PPG) and the practice had developed an information pack specifically tailored for young people with mental health problems who attended the surgery.

  • One of the GPs ran a drop in clinic for homeless patients. This was held at a local homeless centre to encourage homeless patients to attend.

However there was one area of practice where the provider should make improvements:

  • Continue to work towards identifying carers from the practice list.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice