We carried out a review of the data available to us about Dorking Medical Practice 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 Dorking Medical Practice, you can give feedback on this service.
We carried out an announced comprehensive inspection at Dorking Medical Practice on 10 and 11 July 2019 as part of our inspection programme.
We had previously carried out an announced comprehensive inspection at Dorking Medical Practice in March 2015 and a follow up inspection in March 2016. The practice was last rated as Good overall and Good in all domains. All of the practices previous reports can be found by selecting the ‘all reports’ link for Dorking Medical Practice on our website www.cqc.org.uk
We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:
We have rated this practice as good overall and in all of the key questions. They have been rated as good overall for all population groups.
We based our judgement of the quality of care at this service on a combination of:
We rated the practice good for providing safe, effective, caring, responsive and well-led care because:
Whilst we found no breaches of regulations, the provider should:
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
We carried out an announced comprehensive inspection of this practice on 16 June 2015. Breaches of legal requirements were found during that inspection within the safe domain. Concerns were identified at the main practice and at the branch surgery Hillside Surgery. 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, that the provider must:
Ensure that medicines are stored safely so as not to allow unauthorised access and that all medicines are reviewed for expiry dates.
Ensure that the appropriate action has been recorded where fridge temperatures are above the recommended temperature range .
Ensure that handwritten prescriptions tracked through the practice at all times.
Ensure that the cold chain for medicines has been validated
Monitor cleaning standards throughout the practice and ensure that the infection control audit accurately reflects the standard of cleaning and cleaning records.
We undertook this announced focused inspection on 3 March 2016. We visited the main surgery and at the branch surgery to check that the provider had followed their action plan and that the actions taken by the provider had met legal requirements. At this inspection we found that the provider was now meeting all requirements and was rated by us as good under the safe domain. This report only covers our findings in relation to those requirements.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk
Our key findings across the areas we inspected on 03 March 2016 were as follows:-
Medicines storage did not allow unauthorised access and since our comprehensive inspection a new policy had been put in place for the reviewing of expiry dates. At this inspection, the medicines we reviewed were all in date.
Staff had been re-informed of the appropriate action to take if fridge temperatures were above or below the recommended temperature range. Staff we spoke with were able to tell us the action to be taken. Fridge temperatures were recorded on a daily basis and none of these had been above or below the recommended range since the last inspection.
Blank prescriptions were now tracked through the practice at all times and this was recorded centrally on the practice computer system.
Medicines transported from the main surgery to the branch surgery were suitable transferred and the cold chain validated.
Cleaning standards throughout the practice were routinely monitored and infection control audits accurately reflected the standard of cleaning.
Chief Inspector of General Practice
The practice has an overall rating of good.
We carried out an announced comprehensive inspection at Dorking Medical Practice on 16 June 2015. Dorking Medical Practice provides personal medical services to people living in the Dorking area. At the time of our inspection there were just under 9,600 patients registered at the practice with a team of four partner GPs, four salaried GPs, practice nurses, healthcare assistants, a team of receptionists and administration staff, a dispensing team and a practice manager. The practice has a smaller dispensing branch surgery (Hillside Surgery) which we did not inspect, however we did review the dispensary service at this location.
The inspection team spoke with staff and patients and reviewed policies and procedures. The practice understood the needs of the local population and engaged effectively with other services. Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It requires improvement for providing safe services, specifically in relation to medicines management and cleanliness and hygiene. We found the practice was delivering a good service to all its population groups.
At the time of the inspection only two of the partner GPs were registered with CQC. We spoke with the practice manager in relation to this, who informed us they were in the process of submitting the required forms to CQC. We saw evidence that confirmed this was the case.
Our key findings across all the areas we inspected were as follows:
However, there were also areas of practice where the provider needs to make improvements.
The Provider must;
In addition the provider should:
Chief Inspector of General Practice