The Care Quality Commission
  • 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

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Thorns Road Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Thorns Road Surgery, you can give feedback on this service.

19 March 2020

During an annual regulatory review

We reviewed the information available to us about Thorns Road Surgery on 19 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

18 January 2018

During a routine inspection

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