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Inspection Summary


Overall summary & rating

Good

Updated 25 March 2019

We carried out an announced comprehensive inspection at Kenwood Medical Centre on 6 February 2019 as part of our inspection programme.

At the last inspection in February 2018 we rated the practice as requires improvement for providing safe, caring, responsive and well-led services because:

  • The practice management did not have sufficient oversight of the functions of the locum practice nurses.
  • There was no clear process on the management of blank prescriptions held at the practice.
  • Staff records were not kept up-to-date and safety alerts were not being received in the practice.
  • The practice did not act on low patient satisfaction survey results. At this time, the practice was not aware of their most recent national patient survey results.

At this inspection, we found that the provider had satisfactorily addressed these areas.

We based our judgement of the quality of care at this service is 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 rated the practice as good for providing safe services because:-

  • The practice had systems and processes in place to keep patients safe.
  • Lessons were learned and improvements were made when things went wrong.
  • The practice could demonstrate that it received and distributed among relevant staff safety alerts.

We rated the practice as good for providing effective services overall and across all the population groups because:-

  • We saw that clinical staff assessed patient needs and delivered care and treatment in line with current legislation.
  • The practice conducted quality improvement activities to help monitor the care and treatment provided.
  • Clinical staff had the relevant skill, knowledge and experience to carry out their role.

We rated the practice as good for providing caring services because:-

  • The practice gave timely support and information to patients.
  • The practice respected patient’s privacy and dignity.
  • The had improved their knowledge regarding the numbers of carers within the practice. Staff were active in identifying carers.

We rated the practice as good for responsive services overall and across all the population groups because:-

  • Complaints were handled in line with recognised guidance. The practice learned lessons and acted to improve services as a result of complaints received.
  • The practice offered extended hours surgery three times a week.
  • Patients had access to booking appointments online as well as requesting repeat prescritions.

We rated the practice as good for providing well-led services because:-

  • The practice leaders had a vision and strategy for delivering quality care.
  • Practice leaders looked after the safety and well-being of all staff at the practice.
  • There was clear lines of responsibility, roles and systems to support good governance and management.
  • The practice engaged regularly with their patients through their patient participation group.

The areas where the provider should make improvements are:-

  • Review the practice online presence.
  • Review how receipt of safety and medicine alerts distributed within the practice are acknowledged.
  • Review the frequency and recording of checks on the practice defibrillator.

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

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good