Background to this inspection
Updated
14 November 2018
RK Medical Practice is situated in a purpose-built health centre at 171 Brownley Rd, Wythenshawe Manchester, M22 4GL. This facility is shared with another GP practice and various community health services, including the district nursing team. The practice has 4700 registered patients and is part of Manchester Clinical Commissioning Group (CCG). Services are provided under a General Medical Services contract with NHS England.
The practice has two male GPs, one the registered provider, the other a salaried GP. The practice staff consists of a practice manager, a practice nurse, and a number of reception and administration staff.
The practice has appropriate facilities, disabled access and car parking. There are three consultation rooms and two treatment rooms utilised by the practice.
The surgery is open from 8am until 6:30pm Monday to Friday and is also a part of a federation of GP practices who provide extended hours cover in the area from 8am to 8pm, Monday to Friday, as well as on Saturday and Sunday. Patients can attend appointments at a small number of local health centres as part of this arrangement.
Out of hours services are provided by Go to Doc via NHS 111.
The practice is a teaching practice, supporting medical students.
Information published by Public Health England rates the level of deprivation within the practice population group as level one on a scale of one to 10. Level one represents the highest levels of deprivation and level 10 the lowest.
The numbers of patients in the different age groups on the GP practice register is generally similar to the average GP practices in England. The practice has a higher percentage (60.6%) of its population with a long-standing health condition when compared to the local CCG average (53%) and the England average (53.7%). The practice has 56.4% of its population with a status of being in paid work or in full-time education, which is below the CCG average (62.8%) and the England average (61.9%). 12.5% of the practice population is unemployed which is above the CCG average (8.8%) and the England average of (4.9%).
The practice provides, surgical procedures, maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities.
Updated
14 November 2018
This practice is rated as Good overall. This was the first inspection of this GP practice under this registered provider.
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at RK Medical Practice
on 24 October 2018. The GP registration with the CQC for the provision of this service was completed in February 2018.
This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- Patient feedback on the quality of care and treatment they received was positive.
- The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice was actively implementing initiatives to improve patient attendance at their long-term health care condition reviews. The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect. Feedback from some patients indicated that the reception team were not always helpful.
- Thirty-eight comment cards we received spoke positively about the practice. Four comments cards indicated they found the appointment system difficult to access. Patients told us they could get an urgent appointment when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Implement quality improvement initiatives to further improve patient outcomes.
- Undertake an annual review of significant events and complaints to identify themes.
- Maintain logs of actions undertaken in response to patient safety alerts and the verbal feedback given to patients in response to their complaint.
- Establish a programme of clinical audit and re-audit including antibiotic prescribing.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.