• Doctor
  • GP practice

Knockin Medical Centre

Overall: Good read more about inspection ratings

Knockin, Oswestry, Shropshire, SY10 8HL (01691) 682203

Provided and run by:
Knockin Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Knockin Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Knockin Medical Centre, you can give feedback on this service.

15 November 2019

During an annual regulatory review

We reviewed the information available to us about Knockin Medical Centre on 15 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.

15 November 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection 4 November 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Knockin Medical Centre on 15 November 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

  • Staff involved and treated patients with compassion, kindness, dignity and respect.

  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Include a copy of the care management plan nurses provided to patients in the patient record.

  • Include timescales for actions to be completed following an infection prevention and control audit.

  • Consider how consent for patients attending for an intrauterine coil insertion is documented.

  • Implement structured clinical supervision and consider clinical audits to monitor the ongoing competence of staff employed in advanced roles.

  • Include equality and diversity training for all staff.

  • Develop a practice training policy/protocol that outlines the training considered by the practice to be mandatory taking account of professional best practice and the training expectations of clinical commissioning group (CCG).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

4 November 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Knockin Medical Centre on 4 November 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs.
  • The practice’s rural community dispensary responded to the needs of their local registered population.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • 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.
  • The provider was aware of and complied with the requirements of the Duty of Candour.
  • Mobile telephone and email signals were not always reliable in the remote rural locations the practice covered, which was a large geographic area. The practice was presented with significant challenges in time management, patient transport services and responded effectively to support their patients. There was excellent effective communication, local knowledge and staff awareness of their local community.

The areas where the provider should make improvement are:

  • Complete regular formal staff fire drills.
  • Review the service improvement plan from the last Infection Control and Prevention audit and install elbow taps.
  • Ensure all staff are aware of the practice business continuity plan.
  • Appraise the reoccurring incidence of pot holes in the car park and consider a more permanent solution to rectify the problem.
  • Develop a patient participation group.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice