Evergreen Practice

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Evergreen Practice is a NHS GP practice which provides primary care services to patients from one location in Bracknell, East Berkshire. We carried out a focussed assessment between 22 January and 1 February 2024. We requested evidence from the practice, carried out remote interviews of staff and remote searches of the practices’ clinical system. The assessment also included a site visit. The assessment included 8 quality statements from 4 key questions which included safe, effective, responsive and well-led. The service is currently rated good overall and good for the following key questions: safe, effective, caring, and responsive. However, the key question of well-led is rated requires improvement. During our assessment we found the following: • Patients could request appointments in a way that met their needs, for example, online, telephone or face to face. • Patients were able to access care and treatment in a timely manner. • Vulnerable patients were prioritised for care and treatment. • We found no evidence of missed diagnosis for diabetes or chronic kidney disease stages 3, 4 or 5. • There was a lack of clear governance arrangements between the practice and the Primary Care Network (PCN) where PCN staff worked at the practice. • There was a lack of effective processes to manage medicines safety alerts from the Medicines and Healthcare products Agency. • Processes to manage significant event activity were not sufficiently embedded to ensure they were completely effective. • Systems to record and monitor risk did not include control measures to mitigate or reduce risks and opportunities to record risks had not been taken in all cases. During our assessment of this practice, we found concerns around governance processes within the practice which resulted in a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can find more details of our concerns in the key question findings below.

People's experience of this service

The methodology used during this assessment did not involve speaking directly with patients during the site visit. To hear from patients about their experiences we asked the practice to share details of our Give Feedback on Care process during the assessment period. In total we received 24 pieces of feedback of which 22 were positive and 2 were negative. Positive feedback commented that the practice was friendly, professional, easy to access and, highly supportive of patients needs. The negative feedback related specifically to the individual experiences of 2 patients and did not identify any themes or trends. We also reviewed data provided by the practice and from external sources which showed patients were able to access care, support, and treatment in a timely manner and in a way that met their needs or preferences.