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Dr KS Upton's Practice Good Also known as Tardis Surgery


Review carried out on 26 November 2019

During an annual regulatory review

We reviewed the information available to us about Dr KS Upton's Practice on 26 November 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.

Inspection carried out on 16 December 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr KS Upton’s Practice on 16 December 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 a system in place for reporting and recording significant events. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Results from the national GP patient survey 2016 showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Patients said they did not find it easy to get through to the practice to make an appointment. There was continuity of care, with urgent appointments available the same day.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • The practice proactively sought feedback from staff, patients and third party organisations, which it acted on.
  • 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 was aware of and complied with the requirements of the duty of candour.

There were areas of practice where the provider should make improvements:

  • Consider pro-actively identifying carers and establishing what support they need.
  • Consider ways to improve patient telephone access to the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice