• Doctor
  • GP practice

Dr King Stott and Pankhurst Also known as Emperors Gate Surgery

Overall: Good read more about inspection ratings

The Surgery, 1st Floor, 49 Emperor's Gate, London, SW7 4HJ (020) 7244 5670

Provided and run by:
Dr King Stott and Pankhurst

Latest inspection summary

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Background to this inspection

Updated 26 November 2015

Dr King Stott and Pankhurst (Emperor’s Gate Surgery) is a well-established GP practice located in Kensington within the London Royal Borough of Kensington and Chelsea and is part of the NHS West London Clinical Commissioning Group (CCG) which is made up of 37 GP practices. The practice shares the premises building with local community services. The practice building is owned by a registered charity who jointly manages the premises with NHS Property Services.

The practice provides primary medical services to approximately 5,900 patients. The practice holds a core General Medical Services contract.

The practice team comprises of three full-time female GP partners, one part-time male GP employed for two sessions, two part time female practice nurses, a practice manager and four administration staff. The practice is a training practice and hosts three GP’s in training.

The practice opening hours are 8.30am to 7.00pm Monday to Thursday and 8.30am to 6.00pm on Friday. The practice is closed daily for lunch between 1.30pm and 2.00pm with the exception of Thursday when it is closed from 1.00pm to 3.00pm. Phone lines are managed for medical emergencies during the lunch time period. Appointments are from 8.30am to 12.30pm and 2.00pm to 6.30pm Monday and Tuesday, 8.30am to 12.30pm and 4.00pm to 6.30pm on Wednesday, 08.30am to 12.30pm and 3.00pm to 6.30pm on Thursday and 8.30am to 12.30pm and 2.00 pm to 5.00pm on Friday. Extended hours appointments are offered from 7.00am to 8.00am on Tuesday and from 6.30pm to 7.30pm on Wednesday and Thursday. The out of hours services are provided by an alternative provider. The details of the out-of-hours service are communicated in a recorded message accessed by calling the practice when it is closed and on the practice website.

The practice provides a wide range of services including diabetes clinics, antenatal services, minor surgery, well woman clinic, Chronic Obstructive Pulmonary Disease (COPD) clinics and child health care. The practice also provides health promotion services including smoking cessation advice and flu immunisation clinics.

The age range of patients is predominately 25-49 years and the number of 0–9 years and 25-49 year olds is greater than the England average.

Overall inspection

Good

Updated 26 November 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr King Stott and Pankhurst (Emperor’s Gate Surgery) on 30 September 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

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 and monitored, appropriately. However, there were no consistent records to demonstrate that learning points from significant events were documented and shared with staff.
  • Risks to patients were assessed and well managed including management of medicines, infection control and health and safety procedures.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients said staff were helpful, caring, professional, and friendly and that they were involved in decisions about their care and treatment.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care. Urgent appointments were available the same day following telephone triage consultation assessment with the duty doctor.
  • 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.

However there were areas of practice where the provider needs to make improvements.

The provider should;

  • Ensure that a legionella risk assessment is undertaken.
  • Ensure that learning from all significant events is clearly documented and shared with practice staff.
  • Ensure all staff have received up to date training in safeguarding vulnerable adults.
  • Ensure that sharps containing cytostatic or cytotoxic medicines are disposed of in line with national guidance.
  • Ensure there is a system in place for monitoring distribution of prescription pads.
  • Ensure training records include evidence that staff have completed online e-learning training modules.
  • Ensure that there is an emergency alarm available in the patient toilet.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

People with long term conditions

Good

Updated 26 November 2015

The practice is rated as good for the care of people with long-term conditions. There was a monthly practice multi-disciplinary team (MDT) attended by community nurses and social services to discuss and review care plans of patients with long-term conditions who had complex medical needs with a view to hospital admission avoidance. The practice had access to a Primary Care Navigator (PCN) who supported patients over the age of 55 years to access local health and social services. The practice encouraged self-care for patients with long-term conditions through referral to the expert patient programme and sign-posting to local patient groups. Patients with complex medical needs had the option to book longer appointments if required. Quality Outcome and Framework (QOF) data for 2013/2014 showed the practices performance in long-term conditions was in line with local and national averages. The practice offered screening for Chronic Obstructive Pulmonary Disease (COPD) with in-house spirometry for patients who were smokers.

Families, children and young people

Good

Updated 26 November 2015

The practice is rated as good for the care of families, children and young people. There was a named lead for safeguarding children and staff had received up to date role appropriate child protection training. Urgent same day appointments were available for children who were unwell. They held a dedicated baby clinic for development reviews, child health surveillance and immunisations. The practice offered GP led antenatal and postnatal care that included screening for postnatal depressions. Sexual health screening was offered if requested. The practice provided family planning services including a full range of contraception options available. Cervical smears were offered in line with national guidance and uptake rates were in keeping with local and national averages.

Older people

Good

Updated 26 November 2015

The practice is rated as good for the care of older people. Older patients were given priority access to telephone consultations and home visits as required with longer appointments available for those with complex needs. There was a monthly practice multi-disciplinary team (MDT) attended by community nurses and social services to discuss and review care plans of frail older patients with a view to hospital admission avoidance. The practice had access to a Primary Care Navigator (PCN) who supported patients to access local health and social services and who also attended the monthly MDT meeting. The practice provided primary care services to a local residential home and held monthly MDT’s with the care home staff, pharmacy advisor and dementia care nurse to discuss and review care plans of the residents at the home. Dementia screening was offered opportunistically during care plan review for older patients with onward referral to local memory services if required. The practice identified and offered support to patients who were also carers. There was a named lead for safe guarding vulnerable adults and staff were aware of their responsibilities to report concerns.

Working age people (including those recently retired and students)

Good

Updated 26 November 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). Extended hour appointments were available for those patients unable to attend the practice during normal hours. Telephone and skype video consultations were also available for patients who were unable to attend the practice in person. There was the facility to book appointments and request repeat prescriptions online. The practice offered NHS Health checks to patients aged 40 – 74 years and proactively followed up on any issues detected at these checks.

People experiencing poor mental health (including people with dementia)

Good

Updated 26 November 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice had access to an in-house counsellor twice weekly. They had support from the community mental health team including a primary care liaison nurse to assist with management of patient experiencing poor mental health. Clinical staff attended quarterly meetings with the community mental health team psychiatrist to discuss the management plans of patients being stepped down from secondary to primary care. QOF data for mental health related indicators was in line with local and national averages. The practice offered opportunistic screening for dementia to elderly patients during care plan review with referrals on to local memory clinics if required. Dementia care included end of life planning, referral to local support groups and identification of carers.

People whose circumstances may make them vulnerable

Good

Updated 26 November 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. There were disabled facilities and a hearing loop available. The practice maintained a register of patients with learning disabilities and these patients were invited for annual health checks and care plan reviews. The practice list was open to homeless people to register and receive medical care. There was access fortnightly to a substance misuse liaison to support patients with drug and alcohol misuse problems. There was a named lead for safeguarding vulnerable adults and staff were aware of their responsibilities to report concerns.