The Care Quality Commission
  • Doctor
  • GP practice

Keats Grove Surgery

Overall: Good read more about inspection ratings

17 Keats Grove, The Scotlands, Wolverhampton, West Midlands, WV10 8LY (01902) 731907

Provided and run by:
Keats Grove Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Keats Grove 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 Keats Grove Surgery, you can give feedback on this service.

3 October 2019

During an annual regulatory review

We reviewed the information available to us about Keats Grove Surgery on 3 October 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.

11 July 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Keats Grove Surgery on 9 August 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing safe services.

We issued a requirement notice in relation to:

  • Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Safe care and treatment.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Keats Grove Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 11 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection on 9 August 2016. This report covers our findings in relation to those requirements.

Our key findings were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had reviewed and implemented systems to minimise risks to patients.
    • The practice had reviewed its systems and procedures to ensure the safe management of medicines and introduced ongoing monitoring to check improvements were maintained.
    • Full employment checks as required by legislation for all staff employed were carried out and records were available to confirm this.
  • Effective systems were in place to monitor the management and care review of patients with long term health conditions and data showed that patient attendance at reviews had improved.
  • The number of patients attending national screening and immunisation programmes had improved.
  • Staff were aware of how to use equipment installed to support patients with a hearing impairment.
  • Staff had clear guidance on maintaining the privacy and dignity of all patients when receiving treatment in consulting rooms without privacy curtains or screens. Patients were offered access to an alternative room if requested.

There was one area where the provider should make improvements:

  • Ensure that the plans to monitor the systems introduced to improve medicine practices are carried out.

At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

9 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Keats Grove Surgery on 9 August 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. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks and the management of high risk medicines.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Staff had been trained and had the skills, knowledge and experience to provide effective care and treatment.
  • The practice worked closely with other organisations and with the local community in planning how services were provided to ensure they meet people’s needs.
  • 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 implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice had a clear vision, which had quality and safety as its main priority.
  • There was a clear leadership structure and staff felt supported by the management.

  • 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 systems are put in place for the proper and safe management of medicines.
  • Complete employment checks as required by legislation for all staff employed.

The areas where the provider should make improvements are:

  • Ensure that the plans developed to improve the management and care review of patients with long term health conditions are fully implemented to improve attendances.
  • Continue taking proactive measures to improve the uptake of childhood immunisations and continue with efforts to engage the practice population with national screening and immunisation programmes.
  • Ensure that staff are aware of how to use equipment installed to support patients with a hearing impairment.
  • Consider providing privacy curtains or a screen in all consulting rooms to maintain the privacy and dignity of patients when receiving treatment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

During a check to make sure that the improvements required had been made

At our previous inspection on 20 January 2014 we saw that improvements were needed to the systems used at the practice for assessing and monitoring the quality of the service provided to patients.

Following the inspection, the provider submitted an action plan setting out how they would address the issues. We also asked the provider to send information to us to show that all the required improvements had been made.

From the documents we looked at, we saw that systems were in place to assess and monitor the quality of the service provided to patients at Keats Grove Surgery.

20 January 2014

During a routine inspection

On the day of our inspection we spoke with six patients and seven members of staff. One patient said, 'It is a first class practice." All of the patients we spoke with said they found it difficult to get through to make appointments but acknowledged that they were able to be seen on the day. All the patients we spoke with said they felt the quality of care they received was good.

We saw that patient's views and experiences were taken into account in the way the service was provided which demonstrated that they felt listened to. All the patients we spoke with told us they were treated with dignity and respect. One patient told us, 'I am happy here." We found that patients experienced care and treatment that met their needs.

Patients told us and we saw that care was delivered in a clean environment.

Most of the staff had received training in safeguarding (protecting vulnerable adults and children). The reception staff still required this training but were knowledgeable about safeguarding issues.

Improvements were required to the quality monitoring systems in place to assess and improve the quality of service that patients received. Incidents that may cause harm needed to be analysed and lessons learnt shared with the whole practice. Improvements were required to the monitoring of chronic disease management.