Letter from the Chief Inspector of General Practice

We undertook a desktop-based review of Kingsmead Healthcare on 7 October 2016. We found the practice to be good for providing safe and caring services and it is rated as good overall.

We had previously conducted an announced comprehensive inspection of the practice on 12 November 2015. As a result of our findings during that visit, the practice was rated as good for being effective, responsive and well-led, and requires improvement for being safe and caring, which resulted in a rating of requires improvement overall. We found that the provider had breached two regulations of the Health and Social Care Act 2008: Regulation 17(1) and (2)(a)(b)(f) Good governance; and Regulation 10(2)(a) dignity and respect. You can read the report from our last comprehensive inspection at http://www.cqc.org.uk/provider/1-199730621. The practice wrote to us to tell us what they would do to make improvements and meet the legal requirements.

We undertook this desktop-based review on 7 October 2016 to check that the practice had followed their plan, and to confirm that they had met the legal requirements. This report only covers our findings in relation to those areas where requirements had not been met previously.

Our key findings on 7 October 2016 were as follows:

• All staff had received training in identifying and reporting significant events, and the number and type of events reported was now monitored.

• Emergency medicines were stored in the reception area where they were readily accessible by all staff in the event of an emergency.

• There were ampoules of water and syringes with the benzylpenicillin already stored as part of the emergency medicines at the practice so that these were available if required for treatment.

• The practice had fitted curtains in all treatment rooms for the benefit of patient privacy and dignity.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kingsmead Healthcare on 12 November 2015. Overall the practice is rated as requires improvement.

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

• Although the practice had a policy in place relating to the reporting of incidents, staff were not following policy and therefore there was not an effective system in place for reporting and monitoring serious incidents.
• Risks to patients were generally assessed and well managed. However, the emergency medicines were not easily accessible.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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. However, patient privacy was compromised, as there were no curtains in consulting rooms.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• 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 areas where the provider must make improvements are:

• Ensure that all staff receive training on identifying and reporting significant events, and that the number and type of events reported is monitored.

• Ensure that emergency medicines are easily accessible to all staff.

• Place curtains in consultation rooms to ensure patient privacy is maintained.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice