The Care Quality Commission
  • Doctor
  • GP practice

Kingsway Surgery

Overall: Good read more about inspection ratings

23 Kingsway, Leicester, Leicestershire, LE3 2JN (0116) 289 5081

Provided and run by:
Kingsway Surgery

All Inspections

During an assessment under our new approach

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.

03 Apr to 03 Apr 2019

During a routine inspection

We carried out an announced comprehensive inspection at Kingsway Surgery on 3 April 2019 as part of our inspection programme.

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 have rated this practice as good overall and good for all population groups.

We found that:

  • Care for more vulnerable patients was prioritised enabling clinicians to focus on providing specialist support. This included developing trust with patients and providing resources such as easy read health check leaflets and flu vaccination invitation letters.
  • The practice was a dementia friendly practice and invested in staff development and specialist care.
  • Staff we spoke with confirmed there was an open culture, a team approach to all incidents and senior staff were very approachable.
  • Patient feedback was welcomed, considered and acted upon to develop and improve services. Over the last year, the practice had made significant changes after consulting with patients and there was a culture of listening and learning to the patient voice.
  • There was an effective process for monitoring patients’ health in relation to the use of medicines including high risk medicines, with appropriate monitoring and clinical review prior to prescribing.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm. Staff worked together and with other agencies.
  • Patients we spoke with and comment cards we reviewed told us staff treated patients with kindness and respect and involved them in decisions about their care.
  • Practice leaders organised and delivered services to meet patients’ needs. They demonstrated ambition and determination to continually improve quality and delivery.
  • Improvements to GP and ANP capacity were impacting positively on access. Patient feedback was improving around access following changes made. Patients were more able to access care and treatment in a timely way.
  • Patients’ treatment was regularly reviewed and updated. Patients with long term conditions received a structured annual review and staff considered concurrent appointments whenever possible.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care