• Doctor
  • GP practice

Kynance Practice

Overall: Good read more about inspection ratings

7 Kynance Place, London, SW7 4QS (020) 7581 3040

Provided and run by:
Kynance Practice

All Inspections

6 July 2023

During a monthly review of our data

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

19 December 2023

During an inspection looking at part of the service

We carried out a focused assessment at Kynance Practice on 19 December 2023. Overall, the practice is rated as good.

At this inspection we rated the practice as good for providing responsive services. We did not inspect safe, effective, caring and well-led, these ratings have been carried forward from the previous inspection held in November 2021.

The practice is rated as follows:-

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Kynance Practice on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this assessment as part of our work to understand how practices are working to try to meet peoples demands for access and to better understand the experiences of people who use services and providers.

We recognise the work that GP practices have been engaged in to continue to provide safe, high-quality care to the people they serve. We know staff are carrying this out whilst the demand for general practice remains exceptionally high, with more appointments being provided than ever. However, this challenging context, access to general practice remains a concern for people.

Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.

How we carried out the inspection

This assessment was carried out remotely. This included:

  • Conducting an interview with the provider and a member of the PPG
  • Reviewing patient feedback from a range of sources
  • Requesting evidence from the provider
  • Reviewing data we hold about the provider
  • Seeking information/feedback from relevant stakeholders

Our findings

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 found that:

  • As part of the assessment, the provider highlighted the actions they had taken to make improvements to the responsiveness of the service for their patient population.
  • The percentage of respondents to the most recent published GP patient survey who responded positively to how easy it was to get through to someone at their GP practice on the phone was above both local and national averages. The practice used quality improvement audits to improve patient outcomes.
  • The percentage of respondents to the GP patient survey who responded positively to the overall experience of making an appointment was above both the local and national averages.
  • The introduction of new clinical staff allowed the practice to provide more clinical sessions.
  • The practice undertook their own practice surveys to have an ongoing picture of patient satisfaction at the practice.
  • The practice had an active patient participation group (PPG) and engaged with the group to gather feedback and implement suggestions by the group to services delivered at the practice.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

2,4,11 November 2021

During a routine inspection

We carried out an announced inspection at Kynance Practice on 2,4 and 11th of November 2021. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Kynance Practice on our website at www.cqc.org.uk

How we carried out the inspection/review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit

Our findings

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

We found that:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice now had clearly defined and embedded systems to minimise risks to patient safety.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Staff were aware of current evidence-based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • 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.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. 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:

  • Continue to monitor uptake of cervical screening and childhood immunisations to secure improved uptake performance.
  • Promote the system for identifying and supporting carers to ensure it is fully embedded and maintained within the practice.
  • Consider changing the flooring in the nurse’s room from carpet to hard flooring.

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