The Care Quality Commission
  • Doctor
  • Independent doctor

The Surgery

Overall: Good read more about inspection ratings

1 Warwick Gardens, London Road, Thornton Heath, Surrey, CR7 7NA

Provided and run by:
Visiting Doctor Services Ltd

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about The 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 The Surgery, you can give feedback on this service.

20 Jun 2019

During a routine inspection

This service is rated as Good overall. (Previous inspection 7 March 2018 - Unrated)

The key questions 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 comprehensive inspection at The Surgery on 20 June 2019 to follow up on breaches of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

CQC inspected the service on 7 March 2018 and asked the provider to make improvements regarding managing medicines and safety alerts, communication with NHS GPs, staff training and quality improvement. We checked these areas as part of this inspection and all of these had been resolved except staff training.

The provider offers face to face consultations and examinations at the clinic and during visits to people (UK and overseas patients) in their home or other places that they are staying such as hotels or care homes. The service informed us that the majority of the patients they see are from overseas and they rarely used the clinic to see patients.

The service manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We received four Care Quality Commission comments cards from patients; all were positive about the service experienced.

Our key findings were :

  • The service had systems to manage risk so that safety incidents were less likely to happen.
  • The service had systems in place to safeguard children and vulnerable adults from abuse and staff we spoke with knew how to identify and report safeguarding concerns. Staff received safeguarding training relevant to their role.
  • The service reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence- based guidelines.
  • Staff we spoke to were aware of current evidence-based guidelines and they had the skills, knowledge and experience to carry out their roles.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Consent procedures were in line with legal requirements.
  • Systems were in place to protect personal information about patients.
  • The service proactively gathered feedback from patients.
  • There was a focus on learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Review systems to check expiry dates of blood test bottles.
  • Review arrangements in place for chaperones.
  • Review oversight of staff update training.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

7 March 2018

During a routine inspection

We carried out an announced comprehensive inspection on 7 March 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was not providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The provider offers face to face consultations and examinations at the clinic and during visits to people (UK and overseas patients) in their home or other places that they are staying such as hotels or care homes. The service informed us that the majority of the patients they see are from overseas and they rarely used the clinic to see patients.

We received 27 Care Quality Commission comment cards from patients who used the service; all were all positive about the service experienced. Many patients reported that the service provided high quality care. Due to the nature of the service we were unable to speak to any patients during the inspection.

Our key findings were:

  • The service had systems in place so that safety incidents were less likely to happen; however processes in place for managing risks to patient safety required improvement.
  • The service did not routinely review the effectiveness and appropriateness of the care it provided; however the patient records we reviewed indicated that care and treatment was delivered according to evidence based guidelines.
  • Comments cards indicated that staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients reported that they were able to access care when they needed it.
  • Information on how to complain was available and easy to understand.
  • Governance arrangements in place to identify and monitor risks to patient safety and performance required improvement.

We identified regulations that were not being met and the provider must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

You can see full details of the regulations not being met at the end of this report.