The Care Quality Commission
  • Doctor
  • GP practice

Borough Green Medical Practice

Overall: Good read more about inspection ratings

Quarry Hill Road, Borough Green, Sevenoaks, Kent, TN15 8RQ (01732) 883161

Provided and run by:
Borough Green Medical Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Borough Green 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 Borough Green Medical Practice, you can give feedback on this service.

3 March 2020

During an annual regulatory review

We reviewed the information available to us about Borough Green Medical Practice on 3 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

2 November 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Borough Green Medical Practice on 17 August 2016. The overall rating for the practice was good. The practice was rated as requires improvement for providing safe services and rated as good for providing effective, caring, responsive and well-led services. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Borough Green Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 2 November 2017, to confirm that the practice had carried out their plan to meet the legal requirements, in relation to the breaches in regulations that we identified in our previous inspection on 17 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice remains rated as good.

Our key findings were as follows:

  • The practice had received approval for funding to replace the clinical hand wash basins in all rooms to comply with Department of Health guidance. There was a programme of work to complete all clinical rooms by March 2018.
  • All carpets in the practice were deep cleaned every six months, and ad hoc deep cleaning was available if required. All privacy curtains at the practice were disposable and were replaced every six months, or sooner if required.
  • A standard operating procedure had been developed to ensure that the dosage, type and batch number of local anaesthetics were recorded in the notes of patients undergoing minor surgery at the practice.
  • The practice had adequate supplies of emergency medicines and equipment and had a process to ensure these were in date and fit for use.
  • The practice had undertaken a review of their practice of leaving non-urgent correspondence for patients’ usual doctors to deal with on their return from periods of absence. They looked at 387 non-urgent items for one of the doctors over a two week period and found none that required urgent action. They had concluded that, as the practice had not led to any urgent matters being overlooked, it would remain in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

​ Chief Inspector of General Practice

17 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Borough Green Medical Practice on 17 August 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice had developed a wide range of other services for patients. The practice objective was to place the patients at the heart of the services, rather than the patients being sent through the health care system to access the services.
  • The practice recognised that the effective governance of the dispensary was particularly important, as they dispensed medicines to approximately 5,600 patients. They had appointed a dispensary manager, two senior dispensers, four dispensers and a dispensary receptionist, in order to ensure the dispensary was managed and governed to a high standard.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvements are:

  • Ensure that action is taken to address the areas of concern identified in the infection control audit.

  • Ensure that systems to routinely check the equipment used in emergencies are safe. In order to ensure equipment is within its expiry date, sterile and fit for purpose.

The areas where the provider should make improvement are:

  • Continue to ensure that the recording of medicines used during minor surgery are appropriately recorded.

  • Continue to ensure there is a system to check and respond to all routine correspondence sent to the practice by other service providers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

20 May 2014

During a routine inspection

Borough Green Medical Practice is registered with the Care Quality Commission to provide the  regulated activities: Diagnostic and screening services; Family Planning; Maternity and Midwifery services; Surgical procedures; Treatment of disease, disorder and injury.

Borough Green Medical Practice provides primary care services from its main surgery in Borough Green and the branch surgery in Wrotham.

During our inspection we spoke with patients, members of the patient participation group and staff.

Patient feedback suggested they were satisfied with the care and treatment they received describing staff as friendly, professional and supportive.

The services provided enabled patients to access appointments promptly and efficiently. However patients would have liked appointments to run to time.

The practice undertook routine surgical operations which enabled patients prompt access to a service with a doctor they knew.

The practice was well led. There was a culture of transparency and inclusion. Staff told us they were well supported and informed of practice developments and issues.

The practice had a system which enabled patients' views on the service to be listened and responded to.

The practice met nationally recognised quality standards for improving patient care and maintaining quality.

Care and treatment was delivered in line with best practice. The practice had the appropriate equipment and procedures to manage patient emergencies safely and effectively.

Patients were cared for in a clean environment which had processes in place to minimise infection risks.

The service was safe with regards to the storage, checking and dispensing of medicines.