During an assessment under our new approach
Date of Assessment: 2 May 2025 to 8 May 2025. The Broadway Surgery is a GP practice located at 179 Whitehawk Road, Brighton, BN2 5FL, and delivers services to 2,237 people under a contract held with NHS England. The National General Practice Profiles states that 83% of the practice population are white, 6% Asian, 3% Black, 4% mixed and 3% other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 1st decile (1 of 10). The lower the decile, the more deprived the practice population is relative to others. The practice has a higher-than-average population of working age people with co-morbidities. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
This assessment was conducted to follow-up breaches of regulation identified at the previous assessment conducted in May and June 2023, when the service was rated Requires Improvement. We found 2 breaches of legal regulations relating to safe care and treatment and good governance. The purpose of this assessment was to evaluate the progress made in addressing the breaches of regulation and determine whether necessary improvements had been implemented to ensure compliance.
Since the last inspection, the service had made improvements and is no longer in breach of legal regulations.
SAFE: At our last assessment, we found that the practice did not always provide care in a way that kept people safe and protected them from avoidable harm. We previously identified concerns relating to medicines management; health and safety; and how incidents were recorded and acted on.
At this assessment we saw the practice now had established and effective systems in place to manage medicines safely. People had been appropriately monitored and/or advised of potential risks relating to their prescribed medicines. There was good antibiotic stewardship actively monitored by the service. There were effective triage systems in place to ensure people were consistently assessed by the most appropriate clinician. Clinicians were overseen to ensure safe and effective practice. Staff received regular appraisals to ensure people received safe care and treatment.
People were protected and kept safe. Staff understood and managed risks. The service encouraged staff to report concerns. Leaders investigated incidents thoroughly. The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. Leaders made sure staff received training.
EFFECTIVE: People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity.
CARING: People were treated with kindness and compassion. Staff were caring of the needs of people and protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing.
RESPONSIVE: People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
WELL-LED: At the last assessment the responsibilities, roles and systems of accountability to support good governance and management were not always clear or effective. Governance systems and processes were not established and operating effectively. However, at this assessment we found that there were now established and effective systems and processes in place to meet people’s needs. Staff were involved in governance systems ensuring systems operated effectively, and safe practice was promoted and maintained. Staff were encouraged to seek clinical advice and guidance and reported clinicians were accessible, receptive and supportive when they asked questions.
Leaders and staff shared a vision to provide good accessible and responsive care. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff understood their roles and responsibilities. Leaders worked with the local community to deliver the best possible care and were receptive to new ideas.