Archived: Dr Kevin Newley Also known as The Maples Surgery

Updated 14 May 2015

Dr Kevin Newley, The Maples Surgery is located close to the centre of Leicester and consists of a single location.

The practice population consists of a rich and diverse mix of ethnicity, culture and religion beliefs, including a significant number of patients originating from Eastern Europe.

On the day of our inspection the patient list was 2,777.

It is located within the area covered by Leicester City Clinical Commissioning Group. A CCG is an organisation that brings together local GP’s and experience health professionals to take on commissioning responsibilities for local health services.

The practice is staffed by one GP. The practice employs an advanced nurse practitioner with prescribing privileges and one healthcare assistant. They are supported by a practice manager and a receptionist.

The surgery was open from 8 am until 6.30 pm daily with extended opening hours on one evening until 7.30 pm and one morning from 7 am.

The practice has opted out of the requirement to provide GP consultations when the surgery is closed. The out-of-hours service is provided by Leicester, Leicestershire and Rutland Out of Hours Service.

The practice is located in a large town house which has been converted and improved to meet the needs of patients.

Updated 14 May 2015

Letter from the Chief Inspector of General Practice

We carried out an unannounced focused inspection on 12 March 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective and responsive services.

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

• There were adequate GP and nurse appointments available to meet patients' needs.
• There was a robust system in place to ensure that pathology results and referrals were dealt with in an appropriate and timely manner.
• Staff were well trained and qualified and practiced within their range of competence, skill and qualification.
• The Advanced Nurse Practitioner had access to supervision and advice from GPs.
• Locum GPs were aware of their responsibilities in providing supervision and advice to nursing staff.
• There were robust systems in place to ensure patients who were assessed as requiring a home visit received one.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should;

• Ensure that patient notes are always completed as soon as practicable following a consultation.
• Ensure that all staff and GPs complete comprehensive patient notes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 April 2015

The practice is rated as good for the care of people with long-term conditions. There were emergency processes in place and referrals were made for patients whose health deteriorated suddenly. Longer appointments and home visits were available when needed. All patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 30 April 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives, health visitors and school nurses. Emergency processes were in place and referrals were made for children and pregnant women whose health deteriorated suddenly.

Updated 30 April 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 30 April 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group

Updated 30 April 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). Patients experiencing poor mental health were offered an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

Updated 30 April 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had offered annual health checks for people with a learning disability. It offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told vulnerable patients about how to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.