Knoll Medical Practice

We carried out an announced inspection at Knoll Medical Practice between 20 and 22 June 2022. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe – Requires improvement.

Effective - Good.

Caring - Good

Responsive - Good

Well-led - Good.

Following our previous inspection on 14 April 2016, the practice was rated Good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Knoll Medical Practice on our website at www.cqc.org.uk

This inspection was a comprehensive inspection part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach which involved a site visit: We looked at the Safe, Effective and Well-led key questions.

How we carried out the inspection/review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included

• Conducting staff interviews using video conferencing.
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A short site visit.

Our findings

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

We found that:

• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We found breach of regulations. The provider must:

• Ensure care and treatment is provided in a safe way to patients

Please see the specific details on action required at the end of this report.

The areas where the provider should make improvements are:

• Continue to take action to improve cervical screening uptake.
• Continue to obtain and record staff immunisation status.
• Continue to plan and develop medicines management for patients.
• Undertake a patient survey.
• Improve communication with staff.
• Inform all staff about the Freedom to speak up Guardian.

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