This practice is rated as Good overall; we carried out an announced comprehensive inspection at The Kings Norton Surgery as part of our regular inspection programme on the 20th April 2018.
For this inspection the key questions are rated as:
Are services safe? – Requires Improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
At this inspection we found:
- The practice was unable to fully demonstrate effective systems to mitigate risk within the practice including high risk medicines, prescription management and monitoring of Patient Group Directions (PGDs).
- The clinical team met daily to discuss any issues arising from the day including safety issue.
- The practice demonstrated good infection control and safeguarding procedures.
- The practice’s GP national survey results were higher than local and national averages. The practice demonstrated that they were consistent in their efforts to continue to improve in all areas,
- The practice’s achievement in performance related indicators (Quality Outcomes Framework QOF) was higher than local and national averages.
- The practice were involved in the local community and with domestic violence services, charities tackling local poverty and were able to demonstrate that they were able to care for the homeless, travellers and local boating communities.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Consider ways to ensure that checks of medical gases are documented and monitored.
- Ensure policies and procedures are operating as intended and adhered to.
- Consider ways to ensure that all complaint responses contain information in line with guidance.
- Ensure that clinical waste is stored securely.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice