Archived: Kingsway Surgery

Updated 18 February 2016

Kingsway Surgery is a seven partner practice. The practice list size is approximately 11,300 patients.

The site has limited car parking but additional parking is available on the streets near to the practice.

The practice has eight GP partners and one salaried GP who between them provide 46 sessions per week. The practice employs a practice manager, an assistant practice manager, three practice nurses and two health care assistants (HCA) as well as a team of reception and administration staff.

The practice provides GP services under a (GMS) General Medical Services contract.

The surgery is open from 8.30am until 6pm Monday to Friday. Extended hours surgeries are available and nurse appointments can be booked from 7.40am on Monday and Friday mornings with GP appointments available on Monday, Wednesday and Friday mornings from7.40am.

The practice lies within the NHS East Leicestershire and Rutland Clinical Commissioning Group (CCG). A CCG is an organisation that brings together local GPs and experienced health professionals to take on commissioning responsibilities for local health services.

The practice had not previously been inspected by the Care Quality Commission.

Updated 18 February 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kingsway Surgery on 5 October 2015. Overall the practice is rated as good.

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

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. However reporting was not always consistent and there was no system in place to disseminate learning from complaints and incidents to all staff.
• The practice was well equipped to treat patients and meet their needs.
• Information about how to complain was available and easy to understand.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
• 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.

The areas where the provider must make improvements are:

• Ensure there are consistent processes for reporting, recording, acting on and monitoring significant events, incidents and near misses.

• Take action to address identified concerns with safeguarding.

• Implement formal governance arrangements including systems for assessing and monitoring risks and the quality of the service provision.

• Provide staff with appropriate policies and guidance to carry out their roles in a safe and effective manner which are reflective of the requirements of the practice.

• Ensure blank prescriptions are handled in line with national guidance.

• Ensure incoming results are dealt with in a timely way.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 18 February 2016

The practice is rated as good for the care of people with long-term conditions.

• The practice ran specific clinics for diabetic patients, coronary heart disease patients and patients with chronic obstructive pulmonary disease.

• The practice had access to a diabetic specialist nurse for more complex diabetic patients.

• The practice ran two international normalized ratio (INR) clinics each week to monitor patients who were taking warfarin.

• Longer appointments and home visits were available when needed.

• Patients had a named GP and a structured annual review to check that their health and medicines needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 18 February 2016

The practice is rated as good for the care of families, children and young people.

Updated 18 February 2016

The practice is rated as good for the care of older people.

Approximately 12% of the practice patient list were over 70. The practice offered home visits for patients who were not able to attend the surgery. Flexible appointments were also available which could be booked in advance and supported patients who relied on family members for transport. The District Nursing team visited the surgery daily and this ensured that communication regarding this patient group was maintained.

An integrated care coordinator was based in the Surgery once a week. They evaluated patients in need of additional support by means of a risk stratification tool as well as direct referrals. The senior partner met with the integrated care coordinator  every 6 weeks to discuss cases. This integrated working allowed the practice to provide more holistic care to this age group.

Updated 18 February 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. This included early morning appointments .

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

• Patients were able to send email queries to the practice.

• The practice offered the meningitis vaccine (MEN ACWY) to students who started university for the first time this year. Due to time restraints between the vaccination programme beginning and the start of the university term, the practice offered additional clinics in order to vaccinate as many new students as possible.

Updated 18 February 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• Indicators for the care of patients experiencing poor mental health were consistently higher than the national average, for example 100% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive, agreed care plan documented in the record, in the preceding 12 months compared to the national average of 86%.

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• It carried out advance care planning for patients with dementia. A lead GP oversaw the care plans for dementia patients.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• Staff had a good understanding of how to support people with mental health needs and dementia.

• In order to support patients with mental health concerns there were several different therapy services within the practice on different days of the week. Appointments were available with an Improving Access to Psychological Therapies(IAPT) therapist, cognitive behavioural therapist and a psychological well-being practitioner.

Updated 18 February 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• It offered longer appointments for people with a learning disability and an annual health check. Prior to attending, the practice provided an illustrated information leaflet describing what to expect. This had been written by the practice and had been approved by the Learning Disability Liaison nurse from the CCG. In order to make patients more comfortable the health checks were booked in at quieter times during the day.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.