During an assessment under our new approach
The Kirkbymoorside Surgery is a GP practice located in the centre of the rural market town of Kirkbymoorside. It delivers services to around 6132 patients under a contract held with NHS England. The patient list size has remained relatively static since 2016.
The practice is registered with CQC to provide the following regulated activities: Diagnostic and screening procedures, Family planning, Maternity and midwifery services, Surgical procedures and Treatment of disease, disorder or injury.
The practice was previously assessed in May 2016 and was rated ‘Good’ overall.
The National General Practice Profiles states that the ethnic make-up of the practice is 98.7% white and 0.4% Asian with the other 0.9% being Black, Mixed race or other. The age distribution of the practice population is significantly above the national average for older people (32.2% v 17.9%) and below the national average for young people (15.1% v 19.6%).
Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the eighth decile (8 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. Where relevant, further commentary is provided in the quality statements section of this report.
We rated the key question of safe as good. The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained. Most risks were mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care. Medicines were mostly managed well. Some shortfalls were identified.
We rated the key question of effective as good. People were mostly involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was mostly based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity.
We rated the key question of caring as good. People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing.
We rated the key question of responsive as good. People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
We rated the key question of well-led as good. Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Leaders worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.