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Kincora Surgery, 134 Coldharbour Lane, Hayes.

Kincora Surgery in 134 Coldharbour Lane, Hayes is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 30th March 2017

Kincora Surgery is managed by Kincora Surgery.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2017-03-30
    Last Published 2017-03-30

Local Authority:

    Hillingdon

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

17th August 2016 - During an inspection to make sure that the improvements required had been made pdf icon

We carried out an announced comprehensive inspection at Kincora Surgery (also known as Kincora Doctors Surgery) on 3 November 2015. The overall rating for the practice was requires improvement. The full comprehensive report on the 3 November 2015 inspection can be found by selecting the ‘all reports’ link for Kincora Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17 August 2016 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified in our previous inspection on 3 November 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

  • The practice had effective systems in place for reporting, recording and learning from significant events and for dealing with national patient safety alerts received.
  • The practice had ensured recruitment arrangements included all necessary pre-employment checks including formal reference checks.
  • The practice had undertaken a recent infection and prevention control (IPC) audit and actions had been taken by the practice as a result.
  • Prescription stationery was monitored when received and distributed by the practice.
  • Arrangements in place to respond to emergencies and major incidents.
  • Relevant staff had received Mental Capacity Act (2005) training and staff appraisals had been completed for all staff.
  • The practice had ensured governance arrangements now included scheduled review of policies and procedures and formal documentation of minutes from practice meetings for circulation to staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

3rd November 2015 - During a routine inspection pdf icon

We carried out an announced comprehensive inspection at Kincora Surgery (also known as Kincora Doctors Surgery) on 3 November 2015. The overall rating for the practice was requires improvement. The full comprehensive report on the 3 November 2015 inspection can be found by selecting the ‘all reports’ link for Kincora Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17 August 2016 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified in our previous inspection on 3 November 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

  • The practice had effective systems in place for reporting, recording and learning from significant events and for dealing with national patient safety alerts received.
  • The practice had ensured recruitment arrangements included all necessary pre-employment checks including formal reference checks.
  • The practice had undertaken a recent infection and prevention control (IPC) audit and actions had been taken by the practice as a result.
  • Prescription stationery was monitored when received and distributed by the practice.
  • Arrangements in place to respond to emergencies and major incidents.
  • Relevant staff had received Mental Capacity Act (2005) training and staff appraisals had been completed for all staff.
  • The practice had ensured governance arrangements now included scheduled review of policies and procedures and formal documentation of minutes from practice meetings for circulation to staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

 

 

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