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Dr P Kerr & Partners Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 23 September 2019

We carried out an announced comprehensive inspection at Dr P Kerr & Partners (The Wall House Surgery) on 17 July 2019 as part of our inspection programme.

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.

Overall this practice is rated as requires improvement.

We rated the practice as requires improvement for providing safe services because:

  • Information from correspondence was not always shared and actioned within the practice effectively.
  • The practice did not always have clear systems, practices and processes to keep people safe and safeguarded from abuse.
  • Appropriate recruitment checks and the ongoing monitoring of the registration of clinical staff was not always completed.
  • The practice could not always evidence the completion of actions resulting from safety alerts.

We rated this practice as requires improvement for providing effective services because:

  • The practice could not demonstrate that the immediate and ongoing needs of patients with long-term conditions and mental health conditions were being fully assessed.
  • The practice childhood immunisation uptake rates had not all met World Health Organisation (WHO) targets.

These areas affected people with long term conditions; families, children and young people; and people experiencing poor mental health, so we rated these population groups as requires improvement. The population groups of older people, working age people, and people whose circumstances make them vulnerable were rated as good.

At this inspection our key findings were:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice had plans in place to improve their service to meet patients’ needs.
  • Patients found the appointment system easy to use and reported that they were mostly able to access care when they needed it.
  • Staff worked well together as a team. There was a culture of working together for a common aim.
  • The practice had a paediatric advanced nurse practitioner who offered and delivered a variety of services for families, children and young people to meet their needs. The practice was also breastfeeding friendly and had a GP infant feeding champion who promoted improvements to infant feeding education across primary care. Patients we spoke with were positive about the services offered for families and children.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.
  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Review and improve the storage of completed staff induction checklists.
  • Continue to develop and document the practice strategy and business plan.

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

Inspection areas


Requires improvement


Requires improvement






Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable