CQC Information

Our CQC Inspection

Update: In August 2016 we were asked to provide evidence to CQC that we had improved in the areas below. After submitting the evidence, CQC have rated us a good in all areas of the practice. You can read the updated report here.

We have now had the results of our recent CQC inspection that took place in February 2015.

We have been given an overall GOOD rating.

CQC is essentially a fault finding  exercise.  As you will see from the report, the CQC did ask us to make some improvements to some of our admin processes.

The inspection report suggests we need to improve safety in the practice.

We feel that this needs clarification, so for this, please read on. You can read the full report here on our website and in the waiting room; you will be able to see the many positive things they have said about our performance, our relationship with you, and the excellent relationships in the practice and the community.

  • Legionella: We did not have an up to date legionella risk assessment in place. This is a rare aerosol borne infection in water systems.  We have booked to have this completed by an external company and we will update our website when this has been completed.
  • DBS/CRB: (these are criminal checks on staff)  Checks not completed for chaperones – Members of our reception team who have had appropriate training to help the clinical teams as chaperones have not had a DBS check completed or risk assessment completed to say why here is not DBS/CRB in place. A risk assessment has now been completed and the Partnership and Management Team feel that DBS checks are not necessary as our chaperones are never left alone with the patient, they are always accompanied by a doctor. 
  • Emergency Equipment Storage: There was a concern the cupboard that we store the emergency equipment was left open and unauthorised access could be made. A risk assessment has now been completed and the doctors and management team feel that the equipment is stored in the most appropriate place as close to clinical team, and there is a keypad lock on the door so it is secure and easy access can be made in an emergency.
  • Fridge Temperature monitoring: One of our vaccine fridges temperatures was noted to have moved out of temperature range. We have now moved the fridge to a more central location so can be visually monitored by the staff throughout the day. The temperature is recorded twice a day (Previously once a day) and there is an internal fridge temperature monitor that is download weekly and given to the nurse manager (previously monthly)
  • Fire Risk Assessment: There was not an up to date Fire Risk Assessment in place. The Surgery does have regular fire drill practices where we complete a full evacuation from the building.  We decided to send two members of the management team to a Fire Safety Course and have subsequently  updated the Fire Risk Assessment and created an Emergency Plan.  

For further information regarding the CQC please visit their website

All information regarding Chawton Park Surgery and our CQC visit is available here

Chawton Park Surgery Statement of Purpose

1. To provide a high standard of medical care to all of our registered patients, with courtesy and consideration.

2. To provide a satisfying and safe work environment for ourselves and our staff

3. To respect the autonomy and beliefs of patients under our care

4. To co-operate with colleagues in the hospital sector

5. To promote a primary care team

6. To ensure adequate training for our employed staff

7. To operate a financially sound and efficient enterprise

8. To evaluate our work

9. To educate ourselves continuingly, and to provide teaching for undergraduates, and postgraduates.

CQC Information

Care Quality Commission (CQC)

The Care Quality Commission (CQC) regulates all health and adult social care services in England, including those provided by the NHS, local authorities, private companies or voluntary organisation. It also protects the interests of people detained under the Mental Health Act. 

The CQC makes sure that essential standards of quality and safety are being met where care is provided, from hospitals to private care homes. It has a wide range of enforcement powers to take action on behalf of people who use services if services are unacceptably poor.
The CQC’s aim is to make sure better care is provided for everyone, whether that’s in hospital, in care homes, in people’s own homes or elsewhere. Read more about CQCs vision and values

Involving people

The CQC makes sure that the voices of people who use health and adult social care services are heard by asking people to share their experiences of care services. It makes sure that users' views are at the heart of its reports and reviews. In some cases patients and their carers work alongside inspectors to provide a user's view of services.


By law all NHS providers (such as hospitals and ambulance services) must register with the CQC to show they are protecting people from the risk of infection. The registration system applies to NHS provider trusts (acute, ambulance, mental health and primary care) and the NHS Blood and Transplant Authority.
From October l 2010 all health and adult social care providers must be registered and licensed with the CQC to show they are meeting essential standards of quality and safety. Without registration, providers will not be allowed to operate.


The CQC has been given a range of legal powers and duties. It will take action if providers don’t meet essential standards of quality and safety, or if there is reason to think that people’s basic rights or safety are at risk.
The CQC can be flexible about how and when to use its enforcement powers, such as fines and public warnings. It can apply specific conditions in response to serious risks. For example, it can demand that a hospital ward or service is closed until the provider meets safety requirements or is suspended. It can take a service off the register if absolutely necessary.


The CQC also carries out periodic and special reviews in order to improve health and social care in the UK.
The CQC’s priority is to improve the public’s experience of health and social care.



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