• Doctor
  • GP practice

The Pines Surgery

Overall: Good read more about inspection ratings

Harborough Road North, Kingsthorpe, Northampton, Northamptonshire, NN2 8LL (01604) 845144

Provided and run by:
The Pines Surgery

All Inspections

During an assessment under our new approach

Date of Assessment: 16 to 23 June 2026.

The Pines Surgery is a GP practice delivering services to approximately 11,100 patients under a contract held with NHS England, from its location at Harborough Road North, Kingsthorpe, Northampton, NN2 8LL. The National General Practice Profiles states that the ethnic make-up of the practice population is 85.2% White, 5.6% Asian, 4.9% Black, 3.1% Mixed and 1.2% Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 8th decile (8 of 10). The lower the decile, the more deprived the practice population is relative to others. The practice advised us they have a high proportion of elderly patients. 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.

Under our previous methodology, at the last inspection in January 2024, the practice was rated requires improvement for providing safe and responsive services, resulting in an overall rating of requires improvement. This announced assessment was carried out due to the existing rating. We assessed all 5 key questions to establish if the services provided are safe, effective, caring, responsive and well-led.

During this assessment, we saw evidence of a strong 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 and any risks mitigated. There were enough staff with the right skills, qualifications and experience. There was continual training and development of staff which was recognised as integral to achieving high-quality care. Staff managed medicines well and involved people in planning any changes.

There was a holistic approach to assessing, planning and delivering care and treatment to people who used services. Care was 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 were consistent in supporting people to live healthier lives through a targeted and proactive approach to health promotion and prevention of ill health, and every contact with people was used to do so.

The practice treated people as individuals and staff were highly effective in how they made sure people’s care, support and treatment met their needs and preferences. People were treated with kindness and compassion, and staff protected their privacy and dignity. Leaders were exceptional at supporting and enabling staff to deliver person-centred care.

The practice delivered services which were tailored to meet the needs of individual people and were delivered in a way to ensure flexibility, choice and continuity of care. People knew how to give feedback and were confident the service took it seriously and acted on it. The practice had worked to improve patient access and to eliminate discrimination. People received fair and equal care and treatment. The practice 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.

The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. The practice had exceptionally inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. There were high levels of staff satisfaction and high levels of constructive staff engagement. There were clear responsibilities, roles, systems of accountability and good governance. They used these to drive and improve high-quality, sustainable care, treatment and support. There was a strong focus on continuous learning, research innovation and improvement. The leadership team had an inspiring, shared purpose to motivate staff to succeed.

11 January 2024

During an inspection looking at part of the service

We carried out an announced focused inspection at The Pines Surgery on 11 January 2024. Overall, the practice is rated as requires improvement.

Safe - requires improvement

Effective - good

Caring - not inspected, rating of good carried forward from previous inspection.

Responsive – requires improvement

Well-led – good

Following our previous inspection on 21 July 2016, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Pines Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities.

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

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

We found that:

  • Remote reviews of the clinical record system showed some patients who were prescribed medicines that required monitoring were overdue a review and relevant safety alerts had not always been responded to.
  • The uptake for cervical screening was below the 80% target set by the UK Health Security Agency.
  • The practice had taken some actions to improve telephone access and appointment booking and had plans to change their telephony system. However, it was too soon to assess the impact of these measures.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • The practice used significant events and complaints to identify areas of learning and improvement.

We found a breach of regulations. The provider must:

  • Ensure care and treatment is provided in a safe way to patients.

The areas where the provider should make improvements are:

  • Continue to take measures to improve the uptake of cervical screening.
  • Continue to take actions to improve patient satisfaction in relation to access and appointment booking.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

21 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Pines Surgery on 21 July 2016. Overall the practice is rated as good.

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • 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.
  • 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and 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.

The areas where the provider should make improvement are:

  • Introduce a formal process to review and monitor infection control practices including regular training updates for all staff.

  • Complete alteration work commissioned to make the appointment desk equality act 2010 compliant.

  • Consider introducing a structure to clinical audit reports so the methodology findings and improvements are clear.

  • Continue to identify and support additional carers.

  • Continue to monitor patient survey results and ensure improvement to access to the practice over the phone.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice