We carried out a review of the data available to us about Kenton Clinic 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 Kenton Clinic, you can give feedback on this service.
This is a focused desk top review of evidence supplied by Kenton Clinic, for areas within the key question safe. This review was completed on 01 July 2020.
Upon review of the documentation provided by the practice, we found the practice to be good in providing safe services. Overall, the practice is rated as good.
The practice was previously inspected on 12 July 2019. The inspection was a comprehensive
inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At the inspection, the practice was rated overall as ‘good’. However, within the key question safe, areas were identified as ‘requires improvement’, as the practice was not meeting the legislation in respect of providing safe services. The practice was issued a requirement notice under Regulation 12, Safe care and treatment.
For this desk top review, the provider sent us an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12 Safe care and treatment. These improvements have been documented under the safe section of the report. In addition to the breaches of Regulation 12 the practice had implemented a number of ‘should’ actions identified at the July 2019 inspection. In response to these recommendations the practice had;
We carried out an announced comprehensive inspection at Kenton Clinic on 12 July 2019 as part of our inspection programme.
We decided to undertake an inspection of this service following whistle blowing concerns we received.
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as good overall and good for all population groups, with a rating of requires improvement for providing safe services.
We found that:
The areas where the provider must make improvements are:
The areas where the provider Should make improvements are:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
Following a comprehensive inspection of Kenton Clinic on 21 December 2015 the practice was rated as inadequate for providing safe, effective and well-led services and good for providing caring and responsive services. The practice was given an overall inadequate rating and placed in special measures. The provider was found to be in breach of two regulations of the Health and Social Care Act 2008. At the inspection shortfalls were identified with the systems in place to keep people safe, the delivery of effective care and treatment and with providing well-led services.
We then carried out an announced comprehensive inspection on 8 November 2016 to consider if the regulatory breaches in the previous inspections had been addressed and to consider whether sufficient improvements had been made to bring the practice out of special measures. At this inspection we found significant improvements had been made. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider should make improvements are:
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Kenton Clinic on 21 December 2015. Overall the practice is rated as inadequate.
Our key findings across all the areas we inspected were as follows:
There was insufficient assurance to demonstrate clinical staff were up to date with current clinical guidance and that people received effective care and treatment which reflected current evidence-based practice specifically chronic disease management and prescribing.
We were not assured there were effective processes and systems in place for the dissemination of and acting upon safety alerts to staff who worked within the practice.
There was no programme of continuous quality improvement, for example, through clinical audit
Although risks to patients who used services were assessed, the systems and processes to address these risks were not implemented well enough to ensure patients were kept safe specifically in relation to medicine management, recruitment and confidentiality.
The practice had a vision to deliver quality care but no formal strategy or business plan in place to support this.
There was a clear leadership structure and all staff felt supported.
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. Specifically patients spoke highly about the access to appointments for children.
The areas where the provider must make improvements are:
Implement a system to ensure all clinicians are kept up to date with NICE and national guidance.
Ensure there is an effective system in place for the receipt and distribution of safety alerts to all staff.
Undertake a programme of continuous quality improvement, for example, clinical audits and re-audits to drive improvement.
Ensure there are formal arrangements in place for reviewing patients with long-term conditions which includes an effective recall system.
In addition the provider should:
Compile a comprehensive list of all medical equipment in the premises and ensure all items are fit for purpose.
I am placing this practice in special measures. Practices placed in special measures will be inspected again within six months. If insufficient improvements have been made so a rating of inadequate remains for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.
The practice will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service.
Special measures will give people who use the practice the reassurance that the care they get should improve.
Chief Inspector of General Practice