Letter from the Chief Inspector of General Practice
This is a focused desk top review of evidence supplied by Kingsway Medical Practice, for two areas within the key question well-led.
We found the practice to be good in providing well-led services. Overall, the practice is rated as good.
The practice was inspected on 15 July 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated ‘good’ overall. However, within the key question well-led two areas were identified as requires improvement, as the practice was not meeting the legislation at that time; Regulation 18 Staffing and Regulation 17 Good governance.
At the inspection in July 2015 we found that capacity and staffing levels had not been reviewed or adapted to respond to the changing needs and circumstances of people using the service or the changes within the structure of the partnership. Checks had not been put in place to ensure staff were not working excessive hours to meet demands. We also found the provider was not operating effective governance systems and processes to make sure they assess and monitor their service for quality, safety and to maintain staff well-being at a partnership level following changes in the capacity and structure of the GP partnership.
The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 17 Staffing and Regulation 17 Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice