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Inspection Summary

Overall summary & rating


Updated 16 August 2019

We carried out an announced focused inspection at Mersham Medical Centre on 3 July 2019 as part of our inspection programme. At the last inspection in October 2014 we rated the practice as good in all domains and population groups.

We decided to undertake an inspection of this service following our annual regulatory review of the information available to us. This inspection looked at the following key questions

  • Effective
  • Responsive
  • Well-led

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations

We have rated this practice as good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Some of the staff had not completed infection prevention and control and fire safety training appropriate to their role. After we raised this issue with the provider they informed us they had booked training for these staff and sent us evidence to support this the day following the inspection.
  • Patients received effective care and treatment that met their needs.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • This practice ranked second amongst the practices in the local Clinical Commissioning Group (CCG) in the 2017 National GP Patient survey; In the 2018 National GP Patient Survey the practice has scored higher than the CCG average for all the questions.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • The practice, with support of their Patient Participation Group (PPG) ran an over 60’s social club since February 2019 to enable people over 60’s to regularly meet others, make new friends, get involved in fun activities. The club met monthly at a local church for two hours; this was organised by the PPG chair. Every month people were invited to give talks on topics of interest which included Bletchley Park code breaking during World War II, environmental regeneration in the local area, local policing by community support police officers, Sutton Mental Health Foundation’s services for the mentally ill, the legal framework for helping victims of domestic violence, abuse and dealing with perpetrators. The PPG informed us that around 10 to 12 people regularly attend the social club.

Whilst we found no breaches of regulations, the provider should:

  • Review service procedures to ensure staff receive training appropriate to their role.
  • Review service procedures to ensure clinical audits are written up for dissemination and learning.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable