We carried out an announced comprehensive inspection at Dr RI King's Practice on 9th February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety. The practice had a system in place to report significant events. However some events had not been recorded and shared with the team which limited learning from all events. Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.

• Risks to patients were assessed and well managed for example, arrangements to safeguard vulnerable patients, keep medicines safe and managing infection control.
• Staff had the skills, knowledge and experience to deliver effective care and treatment. Staff retention at the practice was good offering stability and continuity of care to patients.
• Patients were positive about the practice and the staff team. They said they were treated with dignity and respect and felt involved in decisions about their treatment.
• Information about services and how to complain was available but not displayed in the patient waiting area.
• Patients were positive about accessing appointments with a named GP and said that there was continuity of care. However some patients said they found difficulties in accessing an appointment after 8am.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.

The areas where the provider should make improvement are:

• Ensure all significant events are reported and recorded and findings shared with staff to promote learning.

• Ensure recruitment arrangements include all necessary employment checks for all staff.

• Review access and availability of the complaints procedure and review ways of capturing verbal complaints and suggestions.

• Review the management and availability of appointments with patients.
• Ensure updated training is provided for all staff including infection control and the Mental Capacity Act 2005.

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We looked at how well patients understood the care and treatment they were given. We spoke with two patients who told us they were well informed, they had good explanations from the doctor and they felt the receptionists were very supportive. They told us they felt fully involved in aspects of their care and treatment and they were treated with respect and dignity at all times.

We found that patient’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

Staff received appropriate professional development and they were supported from time to time to obtain further relevant qualifications. We confirmed that all staff had undergone child protection training but staff had not received training in adult protection.

We found good processes were in place for monitoring the quality of services provided. Patients were asked for their views about their care and treatment and the results were acted on. There was evidence that learning from incidents had taken place and appropriate actions had been taken.

We reviewed the information available to us about Dr RI King's Practice on 7 June 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.