The Care Quality Commission
  • Doctor
  • GP practice

Pickhurst Surgery

Overall: Good read more about inspection ratings

56 Pickhurst Lane, Hayes, Bromley, Kent, BR2 7JF 0844 576 9233

Provided and run by:
Pickhurst 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 Pickhurst 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 Pickhurst Surgery, you can give feedback on this service.

28 September 2019

During an annual regulatory review

We reviewed the information available to us about Pickhurst Surgery on 28 September 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.

2 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of the practice on 24 February 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 17(1) and 17(2) (b) and (c) (Good Governance) and Regulation 18(2) (a) (Staffing) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this desk-based focussed inspection on 2 November 2016 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 Pickhurst Surgery 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 those related to safeguarding, chaperoning, fire safety and storage of patient records.

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

  • Review the arrangements for the all the actions from legionella risk assessment are undertaken in a timely manner.
  • Review the arrangements for the monitoring of diabetes for patients.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

24/02/2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Pickhurst Surgery on 24 February 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 a system in place for reporting and recording significant events.
  • Risks to patients were assessed and managed. However not all actions following fire and legionella risk assessments were undertaken.
  • 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.
  • Many 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 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 all actions from risk assessments are undertaken in a timely manner and that regular fire drills and fire alarm testing are performed and that fire extinguishers are checked on a yearly basis.
  • Ensure that patient records are kept in secure areas with no access to the public.
  • Ensure that staff undertake safeguarding training to the requisite level for their role.
  • Ensure that the chaperone processes are in line with guidelines and that staff have been trained and undertake a risk assessment to ascertain if DBS checks are required for all staff who undertake this role.

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

  • Review the arrangements to monitor the use of prescription pads.
  • Review the arrangements for the monitoring of diabetes for patients.
  • Review the audit processes so it demonstrates that requisite changes are made following the completion of audits and monitored through re-audits.
  • Review the arrangements for involving clinical staff in the appraisal process for clinical staff.
  • Review the complaints procedure to ensure it contains all the relevant information for patients.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice