• Doctor
  • GP practice

Kippax Hall Surgery

Overall: Good read more about inspection ratings

54 High Street, Kippax, Leeds, West Yorkshire, LS25 7AB (0113) 385 4558

Provided and run by:
Kippax Hall Surgery

All Inspections

During an assessment under our new approach

Date of Assessment: 29 May to 30 May 2025.

Kippax Hall Surgery is a GP practice located at 54 High Street, Kippax, Leeds, LS25 7AB. It delivers services to around 6,850 patients under a contract held with NHS West Yorkshire Integrated Care Board. The practice patient list has grown by around 500 patients over the previous 5 years. The National General Practice Profiles shows that the practice serves a population whose ethnicity is predominantly white (97%), with a slightly older age profile than the local area, with 20.8% of patients being older people compared to the local average of 17.9%. The patient population also shows some health differences compared to local averages. For example, 19.2% of the practice population are classed as obese compared to a local average of 11.7%, and 21.5% of the practice population have hypertension compared to a local average of 13.3%. 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. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. The practice works closely with other partners and stakeholders such as their local primary care network (PCN) to deliver extended services. The service is delivered by 4 GP Partners, 2 practice nurses, 2 healthcare assistants, 1 practice manager, 1 assistant practice manager and a team of care coordinators/receptionists and administration staff. In addition, the practice hosts members of their local PCN pharmacy team and social prescribers. The practice was last inspected in July 2019 when it was rated as good overall, and in all key questions. Following this assessment the service remains rated as good.

The service had a positive learning culture and people could raise concerns about their care. People were protected and kept safe, and we saw that the provider understood and managed risks well. There were enough staff with the right skills, qualifications and experience to deliver services to patients. Managers made sure staff received training and regular appraisals to assess and maintain high-quality care. The provider managed medicines well and involved people in planning any changes to their care.

Patients were involved in assessments relating to their health needs, and we saw that assessments took account of people’s communication, personal and health requirements. Care was based on the latest evidence and good practice. The provider closely monitored patient outcomes, and had put in place measures to improve performance when this was required.

People were treated with kindness and compassion, and staff protected their privacy and dignity. They treated patients as individuals, and supported their preferences which meant patients had choice in their options for care and treatment. We saw that patient satisfaction with how they had been treated by staff at the practice was very high.

People were involved in decisions about their care. The practice staff provided information people could understand. People knew how to give feedback, and were confident the service took it seriously and acted on it. Feedback from patients showed high satisfaction with how they were able to access the service, and how their care was planned and built around them. People were involved in planning their care and understood their care options.

Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, and the practice helped staff develop in their roles. There was a culture of continuous improvement and innovation to drive forward patient outcomes.

18/07/2019

During an inspection looking at part of the service

As part of our inspection programme we carried out an announced focused inspection at Kippax Hall Surgery on 18 July 2019.

We decided to undertake 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 effective, responsive and well-led.

We based our judgement on 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
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • There was a range of risk assessments regarding the new building works, to minimise risks to the health and safety of patients and staff, and disruption to the service delivery.
  • There was provision of continuity of care for existing patients, whilst also managing the care and treatment of newly registered patients.
  • There was a comprehensive system in place for the review and management of NICE guidance, local guidelines, protocols and pathways to ensure effective care and treatment were provided for patients.
  • There was evidence of quality improvement, which included a programme of audit and benchmarking against other practices.
  • Patients received structured reviews of their care and treatment and received advice and support to manage their symptoms.
  • The practice was above the national target for the uptake of childhood immunisations and cancer screening programmes.
  • When a member of staff acted in the capacity of a chaperone, they wore a tabard and badge citing ‘chaperone’. This enabled patients to identify that the member of staff was carrying out the role.
  • Patients were positive about the practice. Patient satisfaction was maintained during the challenging period and was above the local average in some areas.
  • Support for staff was positive. There was a comprehensive staff development process, which included assessment of competency and identification of areas for further development. Leaders and managers were extremely praising of staff. There was a team ethos of working together to provide high-quality services for patients.

We saw the following area of outstanding practice:

  • The provider was able to demonstrate there had been strong collaboration, team-working and support across all functions when they had been faced with a sudden, significant influx of new patient registration requests. As a result of this the quality of care and patients’ experiences had been sustained during this challenging period.

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

Dr Rosie Benneyworth BM BS MDedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

8 December 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kippax Hall Surgery on 8 December 2015. Overall the practice is rated as good for providing safe, effective, caring, responsive and well-led care for all of the population groups it serves.

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 was in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice 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 were involved in care and decisions about their treatment.
  • Patients were positive about access to the service. They said they found it easy to make an appointment, there was continuity of care and urgent appointments were available on the same day as requested.
  • The practice had good facilities and was well equipped to treat and meet the needs of patients.
  • The practice sought patient views how improvements could be made to the service, through the use of patient surveys, the NHS Friends and Family Test and the patient participation group.
  • There was a clear leadership structure and staff were supported by management.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

We saw some areas of outstanding practice:

  • The practice had a system of priority booking of appointments for carers and patients who were on the palliative care register.
  • During the times staff acted in the capacity of a chaperone, they wore a tabard and badge citing ‘chaperone’ to enable patients to identify that member of staff was carrying out the role.
  • The practice had developed a visual ‘jobs to do’ board to ensure all tasks were completed in a timely manner and to avoid duplication of work. Morning, afternoon, weekly and monthly tasks were identified. The use of different coloured markers identified when the task had been completed.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice