Background to this inspection
Updated
10 August 2018
Kingston Health (Hull) is located at Wheeler Street, Anlaby Road, Hull, North Humberside, HU3 5QE. The practice is situated in the middle of a large inner-city housing estate in Hull. It has approximately 9,202 patients mainly from a white British background. Approximately 28% of the practice population are over the age of 65. The practice is in an area measured as having high levels of deprivation and is scored as two on the indices of deprivation. Practices with high levels of deprivation typically have more need for health care services. The location provides accessible facilities and have several public car parking spaces. There is also a branch practice situated in the west of the city of Hull (Park Health Centre) providing services for patients in the Holderness Road and surrounding areas at 700 Holderness Road, Hull, HU9 3JR. We visited the branch practice as part of our inspection.
The practice website can be found at:
The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury.
Kingston Health (Hull) is situated within Hull Clinical Commissioning Group (CCG) and provides services under the terms of a general medical services (GMS) contract. This is a contract between general practices and NHS England for delivering services to the local community.
The practice has two full time GPs and three part-time (four male and one female). The practice has a Business Manager, an Assistant Practice Manager, a Team Leader, two Practice Nurses, two Health Care Assistants, a Pharmacist and 13 administration and reception staff.
The practice is open between 8am to 6.30pm on Monday to Friday. The Park Health Centre branch is also open between 8am and 6.30pm Monday to Friday. Appointments with GPs are from 8.40am to 5.50pm and nursing 8am to 5.50pm daily.
The practice has opted out of providing out-of-hours services to their own patients and refers them to the Out of Hours service via the NHS 111 service, which is provided by City Health Care Partnership CIC.
Updated
10 August 2018
This practice is rated as good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Kingston Health (Hull) on 13 June 2018 as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them, and improved their processes.
- The practice had systems in place to minimise risks to patient safety.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The practice had thoroughly reviewed the effectiveness and appropriateness of the care it provided. They ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice organised and delivered services to take account of individual and cultural patient needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- Information about services and how to complain was available. Improvements were made to improve the quality of care as a result of complaints and concerns.
- There was a strong focus on improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Improve the system for the monitoring of cleaning schedules and maintenance checks.
- Implement in-depth clinical outcome based audits to improve to patient care.
- Although patient feedback is being sort in other ways the practice should explore ways of introducing and implementing a patient participation group (PPG) to drive improvement.
- Improve the arrangements for alerting other services that could be in the building in respect of signage of the storage of gas cylinders.
- Review and improve the system that identifies patients who are also carers to help ensure that all patients on the practice list who are carers are offered relevant support if appropriate.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice