The Care Quality Commission
  • Doctor
  • GP practice

Kingsway Surgery

Overall: Good read more about inspection ratings

Crouch Vale Medical Centre, Burnham Road, South Woodham Ferrers, Chelmsford, CM3 5QP (01245) 321391

Provided and run by:
Kingsway Surgery

Important: This service was previously registered at a different address - see old profile

All Inspections

6 July 2023

During a monthly review of our data

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

17 November 2023

During an inspection looking at part of the service

We carried out an announced focused assessment at Kingsway Surgery on 17 November 2023. Overall, the practice is rated as good.

Safe - not inspected, rating of good carried forward from previous inspection

Effective - not inspected, rating of good carried forward from previous inspection

Caring - not inspected, rating of good carried forward from previous inspection

Responsive – requires improvement

Well-led - not inspected, rating of good carried forward from previous inspection

Following our previous inspection on 21 November 2022 the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Kingsway Surgery 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 demand 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, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In 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 review

This assessment was carried out remotely. It did not include a site visit.

The process included:

• Conducting an interview with the provider and members of staff using video conferencing.

• Reviewing patient feedback from a range of sources

• Requesting evidence from the provider.

• Reviewing data we hold about the service

• Seeking information/feedback from relevant stakeholders

Our findings

We based our judgement of the responsive key question on a combination of:

• what we found when we met with the provider

• information from our ongoing monitoring of data about services and

• information from the provider, patients, the public and other organisations.

We found that:

• The practice scored lower than the national average regarding access to the practice by phone and satisfaction with appointment times. However, the practice received higher than local and national average scores for patient satisfaction in their experience of making an appointment and satisfaction with the appointment offered.

• Patient feedback was mixed in that the GP patient survey results were lower than the national average in certain areas, but patient feedback received by the friends and family survey for October 2023 reflected that patients could access care and treatment in a timely way.

• During the assessment process, the provider highlighted the actions they have taken to make improvements to the responsiveness of the service for their patient population. They also identified the areas to be put in place to continue this improvement.

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

21 November 2022

During a routine inspection

We carried out an announced comprehensive inspection at Kingsway Surgery on 21 November 2022. Overall, the practice is rated as Good. This was the first inspection of this service since they registered with The Care Quality Commission in 2020. This practice was previously registered at a different address.

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 Kingsway Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities and it included all of the key questions: safe, effective, caring, responsive and well-led.

How we carried out the inspection.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.
  • Staff questionnaires.

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:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm. Staff from the practice attended regular multi-disciplinary team meetings to support vulnerable patients.
  • Patients received effective care and treatment that met their needs. Updates from the National Institute for Clinical Care (NICE), were discussed at monthly clinical meetings and any actions were recorded and monitored for progress.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way. The practice had recently installed additional telephone lines and added information about the patient’s place in the queue.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care. The partners at the practice were approachable and visible within the practice. They engaged in local and national initiatives to improve patient care.

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

  • Continue to collate the vaccination status for all staff in line with UK Health and Security Agency (UKHSA) guidance for staff vaccinations.
  • Upload patient documents received from secondary care services onto the individual patient record in line with best practice.
  • Continue to improve the uptake of cervical screening.

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 Hospitals and Interim Chief Inspector of Primary Medical Services