Kingshurst Medical Practice

We carried out an announced inspection at Kingshurst Medical Practice between 5 July 2022 and 12 July 2022. Overall, the practice is rated as Good.

The ratings for each key question are as follows:

Safe - Good

Effective - Good

Caring - Good

Responsive – Requires Improvement

Well-led - Good

The practice had not previously been inspected under their current provider registration.

The full reports for previous inspections, under previous providers can be found by selecting the ‘all reports’ link for Kingshurst Medical Practice on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a comprehensive inspection of a new provider.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Conducting staff interviews using video conferencing
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• Reviewing patient records to identify issues and clarify actions taken by the provider
• Requesting evidence from the provider
• A short site visit

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected,
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Safeguarding arrangements had been developed to help support and protect the practice’s most vulnerable patients.
• We found appropriate recruitment checks were in place for staff working at the practice.
• The premises were well maintained and infection prevention and control measures were implemented to minimise the risks to patients.
• Our clinical searches found medicines were generally well managed although, we identified some areas for improvement in relation to high risk medicines and safety alerts.
• The practice learned from incidents and complaints and had implemented systems for minimising the risk of reoccurrence.
• Patients received effective care and treatment that met their needs. Our review of clinical records found patients with long-term conditions received appropriate management and follow up. However, patient compliance to recall was a concern in those with more complex needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care. However, we found arrangement to support carers was limited.
• GP National Patient Survey results were significantly lower than local and national averages, in particular for access. However, it was recognised the data was collected not long after the provider had taken over the practice and the practice was taking action to improve.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

• Include all household members in system alerts relating to safeguarding.
• Risk assess staff immunisations to ensure they are in line with those recommended in government guidance.
• Address any patient issues identified during the review of high-risk medicines, safety alerts and long-term condition reviews.
• Strengthen systems to encourage patients with more complex care needs to attend review appointments.
• Improve childhood immunisations and cervical screening uptake.
• Continue to improve patient satisfaction of the service.
• Improve arrangements to support carers.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care