Background to this inspection
Updated
21 January 2019
Kingsway Surgery operates from Wood End Park Centre; a single storey facility based in Hayes, in the London Bough of Hillingdon. The practice provides NHS primary medical services through a General Medical Services (GMS) contract to approximately 4,500 patients. Twenty nine percent of patients are aged under 18 (compared to the national practice average of 21%) and 9% are 65 or older (compared to the national practice average of 17%). Fifty three percent of patients have a long-standing health condition. The services provided by the practice include child health care, ante and post-natal care, immunisations, sexual health and contraception advice and management of long term conditions.
The staff team comprises two partner GPs (one male, one female) working a combined fourteen sessions per week, a practice nurse working two days per week, a healthcare assistant, a practice manager and a team of administrative staff.
Opening hours:
Monday: 8:00am-6:30pm
Tuesday: 8:00am-6:30pm
Wednesday: 8:00am-1:30pm
Thursday: 8:00am-6:30pm
Friday: 8:00am-6:30pm
Extended appointments:
Thursday: 7am-8am
Consultation times:
Monday, Tuesday, Thursday, Friday: 8:00am until 11:30am and 3:30pm until 6:00pm.
Wednesday: 8:00am until 11:30am
The practice is closed at weekends. It has opted out of providing an out-of-hours service. Patients calling the practice when it is closed are connected with the local out-of-hours service provider. The practice’s website contains information about the out-of-hours provider and the NHS 111 service.
The practice is registered with the CQC to provide the regulated activities Diagnostic and screening procedures, Family planning, Maternity and midwifery services, and the Treatment ofdisease, disorder or injury.
Updated
21 January 2019
This practice is rated as Good overall. (Previous rating August 2016– Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced inspection at Kingsway Surgery on 8 November 2018 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.
•The practice had acted since our August 2016 to improve patient satisfaction on the extent to which clinicians treated patients with care and concern. Latest comparable patient survey results showed performance was still below local and national averages but had significantly narrowed.
•Patients found the appointment system easy to use and reported they could access care when they needed it.
•There was a strong focus on continuous learning and improvement at all levels of the organisation including clinical audit, analyses of referral data and participation in local pilot projects.
•Structures, processes and systems supported good governance and effective practice management.
We saw two areas of outstanding practice:
•The practice participated in a local Clinical Commissioning Group (CCG) initiative which aimed to empower patients who are diabetic Asthmatic or at risk of diabetes to take control of their health. In August 2018, Kingsway Surgery made the highest number of referrals of all the practices in the CCG locality.
•The practice participated in a primary care based paediatric pilot project which gave clinicians confidence in managing paediatric conditions which in the past would have been referred to a hospital setting.
The areas where the provider should make improvements are:
•Continue to act to improve patient satisfaction scores on the extent to which clinicians treated patients with care and concern.
•Review arrangements to improve cancer screening uptake rates.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.