Esher Green Surgery, Esher.

Esher Green Surgery in Esher is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 14th October 2016

Esher Green Surgery is managed by Esher Green Surgery.

Contact Details:

Address: Esher Green Surgery Esher Green Drive Esher KT10 8BX United Kingdom Telephone: 01372462726 Website: http://www.eshergreensurgery.co.uk

Ratings:

For a guide to the ratings, click here.

Further Details:

Important Dates:

Last Inspection		2016-10-14
Last Published		2016-10-14

Local Authority:

Surrey

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

8th September 2016 - During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Esher Green Surgery on 22 December 2015. The practice had been rated as good for effective, caring, responsive and well-led, however, required improvement in safe. After the comprehensive inspection, the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

• Ensure that all recruitment checks were carried out and recorded as part of the staff recruitment process. This included retaining information for Disclosure and Barring Service (DBS) checks for those staff that need them, proof of identity, CV with full employment history and references and the completion of a risk assessment as to which staff required a criminal records check with the Disclosure and Barring Service (DBS).
• Completing a legionella risk assessment.

In addition the provider should:

• Ensure staff were aware of the business continuity plan.
• Ensure there was improved dissemination of information of patient care plans when carried out by the Advanced Nurse Practitioner.
• Ensure that the carpet in a treatment room was replaced with suitable flooring as specified in the practice refurbishment plan.

We undertook this announced focused inspection on 8 September 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. The provider was now meeting all requirements and is rated as good under the safe domain.

This report only covers our findings in relation to those requirements.

• Staff recruitment files contained the relevant information and pre-employment checks had taken place. All staff had been risk assessed to see if their role required a DBS check.
• A legionella risk assessment had taken place in December 2015.

In addition we saw evidence that the provider had:

• Ensured all staff were aware of the business continuity plan and its location.
• Ensured GP involvement in care plans carried out by the Advanced Nurse Practitioner.
• Replaced the carpet in a treatment with suitable flooring.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

22nd December 2015 - During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Esher Green Surgery on 22 December 2015. The practice had been rated as good for effective, caring, responsive and well-led, however, required improvement in safe. After the comprehensive inspection, the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

• Ensure that all recruitment checks were carried out and recorded as part of the staff recruitment process. This included retaining information for Disclosure and Barring Service (DBS) checks for those staff that need them, proof of identity, CV with full employment history and references and the completion of a risk assessment as to which staff required a criminal records check with the Disclosure and Barring Service (DBS).
• Completing a legionella risk assessment.

In addition the provider should:

• Ensure staff were aware of the business continuity plan.
• Ensure there was improved dissemination of information of patient care plans when carried out by the Advanced Nurse Practitioner.
• Ensure that the carpet in a treatment room was replaced with suitable flooring as specified in the practice refurbishment plan.

We undertook this announced focused inspection on 8 September 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. The provider was now meeting all requirements and is rated as good under the safe domain.

This report only covers our findings in relation to those requirements.

• Staff recruitment files contained the relevant information and pre-employment checks had taken place. All staff had been risk assessed to see if their role required a DBS check.
• A legionella risk assessment had taken place in December 2015.

In addition we saw evidence that the provider had:

• Ensured all staff were aware of the business continuity plan and its location.
• Ensured GP involvement in care plans carried out by the Advanced Nurse Practitioner.
• Replaced the carpet in a treatment with suitable flooring.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice