Archived: Kennet Surgery

We carried out an announced focused inspection at Kennet Surgery on 14 November 2019 as part of our inspection programme.

We carried out an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:

• Are services at this location effective?
• Are services at this location well-led?

Because of the assurance received from our review of information we carried forward the ratings from the March 2016 inspection for the following key questions:

• Are services at this location safe?
• Are services at this location caring?
• Are services at this location responsive?

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as good overall. We rated the practice as good for providing effective and well-led services and for the following population groups: older people; people with long-term conditions; families children and young people; people whose circumstances may make them vulnerable and people experiencing poor mental health (including dementia).

We found that:

• Patients received effective care and treatment that met their needs.
• The practice met the national target for childhood immunisations uptake.
• The practice was taking appropriate steps to improve its uptake of cancer screening.
• There was a clear leadership structure and staff felt supported by management. There was a culture of ensuring the wellbeing of staff in order to deliver high quality care.
• There had been quality improvement work to improve patient access to services.
• There was a strong focus on continuous learning and improvement.
• The practice was engaged in local initiatives and worked effectively alongside partners in the local healthcare system.

We saw one area of outstanding practice:

• The practice responded to their identification of an increased number of patients with diabetes in the Nepalese population and developed a project within the local area to offer group consultations and a translated education course to Nepalese patients, as the current diabetes programme was not available in different languages.

The areas where the provider should make improvements are:

• Continue to monitor and improve uptake of long-term condition reviews for patients diagnosed with diabetes.
• Continue to monitor and improve uptake of cancer screening.
• Continue to review and address lower than average patient feedback.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care