• Doctor
  • GP practice

Kingswell Surgery

Overall: Good read more about inspection ratings

40 Shrewsbury Road, Penistone, Sheffield, South Yorkshire, S36 6DY (01226) 765300

Provided and run by:
Kingswell Surgery

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 Kingswell 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 Kingswell Surgery, you can give feedback on this service.

20 December 2023

During an inspection looking at part of the service

We carried out an announced assessment of Kingswell Surgery on 20 December 2023. The assessment focused on the responsive key question.

Following our previous inspection on 5 February 2019 the practice was rated good overall and for all key questions. The full reports for previous inspections can be found by selecting the ‘all reports’ link for Kingswell Surgery on our website at www.cqc.org.uk.

The practice continues to be rated as good overall and for providing safe, effective, caring and well led services as this was the rating given at the last comprehensive inspection. However, as a result of the findings of this focused assessment we have now rated the responsive key question as outstanding.

Safe - Good

Effective - Good

Caring - Good

Responsive – Outstanding

Well-led - Good

Why we carried out this assessment.

We carried out this assessment as part of our work to understand how practices are working to try to meet demand for access and to better understand the experiences of people who use services and providers. We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.

How we carried out the assessment

This assessment was carried out remotely and did not include a site visit.

This included:

  • Conducting provider and staff interviews using video conferencing.
  • Reviewing patient feedback form a variety of sources.
  • Requesting evidence from the provider.
  • Reviewing data we hold about the practice.
  • Seeking information form relevant stakeholders.

We found that:

  • During the assessment process, the provider highlighted the efforts they were making or are planning to make to improve the responsiveness of the service for their patient population. Patient feedback showed high levels of satisfaction relating to access indicating they could access care and treatment in a timely way. High levels of patient satisfaction had been maintained for a number of years despite the Covid pandemic challenges. They continuously reviewed their appointments system in response to feedback and demand and planned ahead to ensure appointment availability. They had also consistently achieved or exceeded national targets for uptake in childhood immunisations and cervical screening. They had a responsive complaints procedure.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

5 February 2019

During a routine inspection

We carried out an announced comprehensive inspection at Kingswell Surgery on 5 February 2019 as part of our inspection programme. The provider is a partnership of two GPs who registered with CQC as the provider for this location in May 2018.

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 and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

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

  • Review systems for checking the immunisation status of staff in line with the Department of Health Immunisation Against Infectious Disease guidance (the Green Book).
  • Improve the process for actioning hospital letters with regard to children who do not attend for a hospital appointment.
  • Review and document the induction process for locum GPs.
  • Review the medication review protocol.

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