Updated 3 April 2024
Kingsway Surgery is a GP practice which provides a range of primary medical services from its location in Leicestershire. The GP practice is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities; diagnostic and screening procedures, family planning, surgical procedures, midwifery and maternity procedures and treatment of disease, disorder or injury. We conducted our on-site assessment on 20 June 2024, and our off-site assessment activity started on 05 June 2024 and ended on 21 June 2024. We inspected this provider in response to risk raised from an external data source due to missed opportunities to manage care. We looked at the learning culture, safe and effective staffing and medicine optimisation under the safe key question, delivering evidence-based care and treatment under the effective key question and governance, management and sustainability under the well-led key question. During our assessment, we found systems and processes in place to support safe care and treatment to the practice population. However, some processes were not always followed to ensure good practice. For example, the management and leadership team were not able to assure themselves the training needs of the staff had always been met, nor that appropriate monitoring of medicines was delivered in a timely way. Therefore, this was a breach in good governance. However, the practice was responsive on inspection and assurances were obtained during the assessment period and risks were mitigated. We have requested an action plan and will continue to monitor progress.