The Care Quality Commission
  • Doctor
  • GP practice

Kimberlow Hill Surgery Also known as Unity Health

Overall: Good read more about inspection ratings

Kimberlow Rise, York, YO10 5LA 07788 292037

Provided and run by:
Unity Health

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Kimberlow Hill Surgery 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 Kimberlow Hill Surgery, you can give feedback on this service.

8 SEPTEMBER 2020

During a routine inspection

We carried out an announced comprehensive inspection at Kimberlow Hill Surgery on 30 July 2019 as part of our inspection programme. This service was previously registered as a location of Wenlock Terrace Surgery and was inspected under that service name. The practice was rated overall good; however, the effective key question was rated as requires improvement.

The full comprehensive report on the previous inspections can be found by selecting the ‘all reports’ link for Wenlock Terrace Surgery on our website at .This inspection was a desk-based review carried out between the 6th and 8th September 2020. A site visit was not undertaken due to Covid-19, the provider has furnished us with evidence, and we have had a conversation with them to discuss the evidence they have sent us. Our key findings were as follows:

At the inspection in July 2019 we rated the practice as requires improvement for providing Effective services. Consequently, we rated all the population groups as requires improvement as the measures the practice had put in place for improvement were in infancy and not yet demonstrated in data.

We rated the Effective domain as requires improvement because:

  • We saw the Quality and Outcomes framework data showed the practice to be below national and local performance published data in several areas.

At this focused review we found that the practice had made the necessary improvements.

We were supplied with evidence of improvements and initiatives the practice had made to improve the uptake of cervical cytology. We saw that the practice had completed 441 cervical screenings since July 2020 when screening was again allowed following COVID 19 restrictions.

We saw there were further nursing staff recruited with the required skills in undertaking cervical screening.

At this review we saw that the practice had improved their process for recalling patients for review of their long-term condition by using their birthday month.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

30/07/2019

During a routine inspection

This service is rated as good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Requires Improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Kimberlow Hill Surgery as part of our inspection programme. This service was previously registered as a location of Wenlock Terrace Surgery and was inspected under that service name. The full comprehensive report on the previous inspections can be found by selecting the ‘all reports’ link for Wenlock Terrace Surgery on our website at .

The service is rated as good overall. We rated the key questions as good with the exception of the effective domain which we rated as requires improvement. Consequently, we rated all the population groups as requires improvement as the measures the practice had put in place for improvement were in infancy and not yet demonstrated in data.

Our key findings were as follows:

  • The provider encouraged reporting of incidents.
  • The practice had systems in place to manage risk so that safety incidents were less likely to happen.
  • There was monitoring of the outcomes of care and treatment.
  • Performance data in 2017/2018 was significantly below local and national averages, however recent data showed a marked improvement.
  • There were arrangements in place to review the effectiveness and appropriateness of the care being provided.
  • Arrangements for monitoring and reviewing prescribing helped ensure that patients were kept safe.
  • Arrangements were in place to ensure that staff were working within the scope of their competency. Staff received appropriate support, training, professional development and appraisal as was necessary to carry out the duties they were employed to perform.
  • During our inspection we saw that staff treated patients with compassion, kindness and respect.
  • Arrangements for the identification of carers and offer of support were in place.
  • Patients and staff told us that making an appointment to see a clinician was difficult, a new telephone system had been introduced in July 2019 to improve this.
  • The practice had established a system for identifying, receiving, recording, handling and responding to complaints by patients.
  • Governance arrangements were being operated effectively to ensure the delivery of care.

The areas where the provider should make improvements are:

Continue to monitor and improve care and treatment for patients as planned and provide regular reviews and assessment of needs in line with evidence-based guidance.

Improve the uptake of cervical cancer screening for eligible women.

Continue to monitor the effectiveness of the new telephone system in relation to improving access to appointments.