The Care Quality Commission
  • Doctor
  • GP practice

East Harling & Kenninghall Medical Practice

Overall: Requires improvement read more about inspection ratings

Market Street, East Harling, Norwich, Norfolk, NR16 2AD (01953) 717204

Provided and run by:
E Harling and Kenninghall Medical Practice

All Inspections

During an assessment under our new approach

East Harling and Kenninghall Medical Practice is a purpose-built GP practice delivering services to about 8,695 patients under a contract held with NHS England. The practice is situated within the Norfolk and Waveney Integrated Care Board (ICB).

 

Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 7th decile (7 of 10). The lower the decile, the more deprived the practice population is relative to others.

 

According to the latest available data, the ethnic make-up of the practice area is 97% White, 0.5% Black, 0.7% Asian, 1% Mixed, and 0.3% Other. There are more older people and fewer younger people in the practice population than the local and national averages.

 

We carried out an announced assessment of 27 quality statements, under the safe, effective, caring, responsive and well-led key questions. We carried out remote clinical searches and an associated interview on 24 June 2024 – this was led by a Care Quality Commission (CQC) GP specialist advisor. A site visit took place on 26 June 2024; this was led by a CQC inspector who was supported by 2 other CQC inspectors and a CQC Medicines Inspector.

 

We carried out this assessment due to concerns we received; risk identified through our ongoing monitoring and length of time since we last inspected the service.

 

This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

 

1 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice​

We carried out an announced comprehensive inspection at East Harling and Kenninghall Medical Practice on 1 June 2016. 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 to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • The practice had a patient focused culture that ensured 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.
  • Feedback from patients about their care was consistently positive. Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Data from the National GP Patient Survey published in January 2016 showed that patients rated the practice higher than others for several aspects of care.
  • 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.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • 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 well 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 several areas of outstanding practice:

  • The practice worked alongside a local residential school for children with autism. The practice recognised that the clinical environment could be difficult for these patients, and liased with the school to find out how the process could be improved. The practice held a dedicated quieter time for these patients to attend appointments, and were in the process of collecting photographs of key staff to be given to the school to help students familiarise themselves with practice staff. Furthermore, the practice were undergoing personalised training from the school on how they can best meet the needs of the students.
  • The practice had undertaken a two cycle audit on children who did not attend appointments, and developed a safeguarding risk assessment process for those who did not attend.
  • The practice manager had participated in a study undertaken by Healthwatch Norfolk that examined how war veterans accessed primary care. This had led to the practice manager drafting their war veterans policy, which was then adopted by Healthwatch groups throughout the county.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice