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