The Care Quality Commission
  • Doctor
  • GP practice

Kingswood Surgery

Overall: Good read more about inspection ratings

Hollis Road, Totteridge, High Wycombe, Buckinghamshire, HP13 7UN (01494) 474783

Provided and run by:
Kingswood Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Kingswood Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Kingswood Surgery, you can give feedback on this service.

27 June 2019

During an annual regulatory review

We reviewed the information available to us about Kingswood Surgery on 27 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.

23 May 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

Our previous comprehensive inspection at Kingswood Surgery in High Wycombe, Buckinghamshire on 18 and 22 November 2016 found breaches of regulations relating to the effective, responsive and well-led delivery of services. The overall rating for the practice was requires improvement. Specifically, we found the practice to require improvement for the provision of effective, responsive and well led services. The practice was rated good for providing safe and caring services. The concerns identified as requiring improvement affected all patients and all population groups were also rated as requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Kingswood Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 23 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in November 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

We found the practice had made improvements since our last inspection. At our inspection on the 23 May 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is now rated as good. All six population groups have also been re-rated following these improvements and are also rated as good.

Our key findings were as follows:

  • There was now an overarching governance framework which supported the delivery of the good quality care. Improvements had been made to deliver significant progress in improving services.
  • The practice had established and was now operating safe and effective systems to assess, manage and mitigate the risks identified relating to fire safety.
  • Systems were in now place to identify and record all feedback from patients. This included a further review of the outcomes of the national GP patient survey to determine appropriate action with a view to improving the patient experience. Furthermore, feedback from patients through a newly reinstated patient participation group (PPG) was sought and acted upon.
  • The practice had implemented a clinical audit schedule with the view to increase the level of clinical audit activity, ensuring quality improvement.
  • Appropriate appraisal arrangements were now in place, appraisals had been completed and there was evidence of performance monitoring and identification of personal and professional development.
  • The practice had taken steps to improve rates of practice patients attending national cancer screening programmes.
  • Information leaflets were now available in languages consistent with the variety of cultures in High Wycombe.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

18 and 22 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kingswood Surgery in High Wycombe, Buckinghamshire on 18 and 22 November 2016. Overall the practice is rated as requires improvement.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. However, when we spoke with some members of staff we were told about other events that had occurred, that had been dealt with informally and not documented.
  • Risks to patients were assessed and well managed in some areas, with the exception of those relating to fire safety.
  • Training arrangements were consistent and there was a system to identify when staff had training and when it would need to be refreshed. However, there was no programme of staff appraisals.
  • Patients said they found it difficult to make an appointment and telephone access was poor. This was collaborated by written and verbal feedback collected during the inspection. Further patients comments said, urgent and online appointments were always available and once an appointment was made the quality of care was excellent.
  • Several members of staff described that in recent months the sense of team had disappeared and they felt undervalued. The same members of staff expressed a low level of job satisfaction and did not feel respected, valued, supported and appreciated.
  • The practice had a lack of good governance and the number of concerns we identified during the inspection demonstrated this. At the start of the inspection, the practice advised several areas and governance arrangements required a review and improvement.
  • The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs. For example, recent participation in a local diabetes project.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice actively reviewed complaints and how they are managed and responded to, and made improvements as a result.

We saw one area of outstanding practice:

  • In November 2015, Kingswood Surgery won the NHS Health Checks ‘GP Practice Team of the Year’ at the HEART UK NHS Health Check Awards. The HEART UK NHS Health Check Award rewards excellence in the NHS and recognised the hard work undertaken to provide NHS Health Checks.

The areas where the provider must make improvements are:

  • Systems and processes must be established and operated effectively to ensure good governance.
  • Implement a process to ensure that all safety incidents are recorded, investigated formally by the appropriate person, monitor incidents for trends and share learning and lessons learnt with the practice staff.
  • Ensure there are mechanisms in place to identify and record all feedback from patients, including a further review of the outcomes of the national GP patient survey to determine appropriate action with a view to improving the patient experience. This should ensure feedback from patients through a patient participation group (PPG) is sought and acted upon.
  • Implement the remaining actions identified in the risk assessment relating to fire safety, including staff training and fire drills.
  • Implement a clinical audit schedule with the view to increase the level of clinical audit activity, ensuring quality improvement.
  • Ensure staff receive appropriate support and appraisals according to their roles.

The areas where the provider should make improvement are:

  • Review the systems in place to promote the benefits of cervical and bowel screening in order to increase patient uptake.
  • Provide practice information in appropriate languages and formats.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice