You are here

Kirpal Medical Practice Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 31 October 2019

We carried out an announced focussed inspection at Kirpal Medical Practice 4 September 2019.

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Effective caring, responsive and Well-led.

Because of the assurance received from our annual review we carried forward the ratings for the following key questions: safe.

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 have rated this practice as good overall and good for all population groups.

We found that:

  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Ensure response to all complaints include details of the ombudsman.
  • Continue to engage with patients to improve achievement for childhood vaccinations.
  • Continue to identify ways to increase the uptake of cervical screening.
  • Consider an audit plan to demonstrate quality improvement in a range of clinical areas.

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

Safe

Good

Updated 22 November 2016

The practice is rated as good for providing safe services:

  • There was an effective system in place for reporting and recording significant events.
  • Records of clinical and significant event meetings demonstrated that incidents were fully discussed. Records showed that ongoing monitoring of events had taken place to ensure that systems put in place were appropriate.
  • When there were unintended or unexpected safety incidents, patients received reasonable support, relevant information and an apology. Patients were told about any actions to improve processes to prevent the same thing happening again.
  • The practice had clearly defined and embedded systems and processes in place to keep patients safe and safeguarded from the risk of abuse.
  • The practice’s system for managing patients on high risk medicines was not fully effective
  • There was an appointed lead for health and safety and risks to patients and staff were assessed and identified actions completed. For example, the practice had completed a legionella risk assessment.
  • The premises and equipment were maintained to a high standard but bins and sharps boxes did not conform to nationally recognised guidelines.
  • The practice was well equipped and had the appropriate medicines to respond to a medical emergency. The exception was medicines for pain management which were not included in the emergency medicines box.

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good