• Doctor
  • GP practice

Thorns Road Surgery

Overall: Good read more about inspection ratings

43 Thorns Road, Brierley Hill, West Midlands, DY5 2JS (01384) 484894

Provided and run by:
Dr Kanchanaprabha Ajat Sanikop

Important: The provider of this service changed. See old profile

Latest inspection summary

On this page

Background to this inspection

Updated 16 August 2018

Thorns Road Surgery is situated in Brierley Hill area of the West Midlands and is part of the NHS Dudley Clinical Commissioning Group (CCG). Services are provided under a general medical service (GMS) contract with NHS England.

The practice is long established but there has a been a change in the lead GP due to retirement in August 2017. The practice operates from premises converted from residential use. The building has two levels and patient services were mostly provided on the ground floor. There is direct access to the practice by public transport from the surrounding areas. Parking facilities are available on site. The practice website can be found at

There are approximately 3,400 registered patients, predominantly of white British background. The practice serves a large residential area and the population age demographics and unemployment levels are similar to the national averages. Information published by Public Health England, rates the level of deprivation within the practice population group as five on a scale of one to 10. Level one represents the highest levels of deprivation and level 10 the lowest. However, there are pockets of deprivation within the practice catchment area. Male and female life expectancy in the practice geographical area is lower than the national average at 80 years for males, compared to 79 years nationally and is the same as the national life expectancy for females, 83 years. The percentage of patients with a long-term health condition is 55%, the national average is 54%.

When the practice is closed, patients can access out of hours services (provided by Malling Health at Russells Hall Hospital) by telephoning NHS 111.

The practice is registered as a single-handed provider and is run by a full time GP (female) working eight sessions per week.

Additional staffing consists of:

  • A full time salaried GP (male) working eight sessions per week.
  • A regular locum GP (female) working one session per week.
  • Two practice nurses equivalent to 0.9 whole time equivalent.
  • A practice manager.
  • An experienced team of reception/administration staff including a senior receptionist and an administrator.

The practice provides surgical procedures, maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities. Family planning services were not registered when we inspected but the provider has made an application to add these to their registration.

Overall inspection

Good

Updated 16 August 2018

This practice is rated as Good overall.

We carried out an announced comprehensive inspection at Thorns Road Surgery on 18 June 2018. The overall rating for the practice was good. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence- based guidelines.
  • Clinicians had access to appropriate information to deliver safe care and treatment.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported they could access care when they needed it. Patient feedback on the care and treatment delivered by all staff was positive.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Complete a physical and mental health assessment for all staff employed to ensure suitability to carry out their role.
  • Carry out an assessment of the hard-wired electrical circuit within the building.
  • Further improve the reporting of significant events.
  • Review the system for managing safety alerts.
  • Explore ways in which to increase the uptake for cervical cancer screening.
  • Consider the implementation of a structured approach to quality improvement including a review of complaints to capture themes and trend from verbal complaints.
  • Consider the introduction of a written business plan to support the strategic aims for the practice.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice