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Kirpal Medical Practice Good

The provider of this service changed - see old profile


Inspection carried out on 4 September 2019

During an inspection looking at part of the service

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 carried out on 26 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kirpal Medical Practice on 26 September 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • Staff understood their responsibilities to raise concerns and to report incidents and near misses. The practice had a formal system in place for the ongoing monitoring of significant events, incidents and accidents.
  • Arrangements were in place to ensure that risks to patients were assessed and managed. The exception was the process for managing patients on high risk medicines.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • The practice had a programme of continuous clinical and internal audit in order to monitor quality and make improvements.
  • The practice invested in staff development and training.
  • 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.

There were areas of practice where the provider should make improvements:

  • Implement a fully effective system to improve the management of patients on high risk medicines.
  • Ensure clinical waste disposal procedures meet nationally recognised guidelines.
  • Assess the risk of not having medicines to manage pain included in the emergency medicines box.
  • Explore ways to improve communication with patients whose first language is not English.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 11 August 2014

During a routine inspection

Kirpal Medical Practice is based within Soho Medical Centre and provides primary care services for patients in the surrounding area.

All the patients we spoke with were extremely positive about the practice. Patients told us that they were respected and well cared for. Patients felt that if they had a complaint that they would be listened to and their complaint dealt with a timely way.

Appropriate systems were in place to ensure patients were kept safe. The practice provided care in line with current guidance and best practice. The practice worked in partnership with the Clinical Commissioning Group (CCG) and other health teams and was proactive in responding to people’s needs.

The leadership style and values at the practice ensured that they were approachable. All the staff we spoke with said the staff team worked very well together. The practice had appropriate governance and risk management measures in place.

We examined patient care across the following population groups: Older people, the practice population aged 75 or over; people with long term conditions, those with ongoing health problems that cannot be cured; mothers, babies, children and young people; working age people and those recently retired; people in vulnerable circumstances who may have poor access to primary care and people experiencing poor mental health. We found that care was tailored to ensure that the individual care needs throughout these groups could be met.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.