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Thornhills Medical Practice Good


Review carried out on 23 August 2019

During an annual regulatory review

We reviewed the information available to us about Thornhills Medical Practice on 23 August 2019. 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.

Inspection carried out on 14 December 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Thornhills Medical Practice on 14 December 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

  • Thornhills Medical Practice was the biggest provider of Skilled Primary Care Surgery in West Kent. The practice accepted referrals from all West Kent practices and were the sole provider of this service for many of them. The practice had six GP’s who were accredited and performed Skilled Primary Care Surgery. Of these, four were qualified skin cancer surgeons and two performed carpal tunnel decompression surgery. On average there were seven minor surgery operating lists carried out each week. Staff told us that patients had said they liked the service because it offered short waiting times, easy access, a friendly and efficient service and there was good communication with the patients’ own GP.

The areas where the provider should make improvement are:

  • Keep the appointment system under review in order to meet patient demand for the various types of clinical appointments.

  • Ensure that written risk assessments regarding all substances that are hazardous to health are in place to aid the effective management of the related risks.

  • Ensure the on-going implementation of the infection prevention and control programme and keep related records readily available.

  • Continue to improve patient outcomes for those with long term conditions.

  • Ensure that carers are identified and supported appropriately.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 19 May 2014

During a routine inspection

Thornhills Medical Practice provides primary medical services Monday to Fridays for patients in the Aylesford and surrounding areas in Kent. The practice has nine general practitioners (GPs), seven of whom form the partnership management team. The senior partner is the registered provider of services at the practice.

We spoke with patients during our inspection and over the phone the following day. They were all complimentary about the services they had received from the practice. No completed comment cards were received during our inspection but following our inspection two completed comment cards were sent to us. Patients we spoke with expressed a high level of satisfaction with the practice and the staff. We also met with three members of the Patient Reference Group (PRG), who emphasised the support, engagement and good working relationship the group had with the GP partners and staff at the practice. Staff we spoke with told us that the management were very open and approachable.

We found the practice was well-led and provided caring, effective and responsive services to a wide range of patient groups.