Background to this inspection
Updated
29 July 2022
Brandon Surgery Dr R Kapur is located in Leicester at:
52 Brandon Street
Leicester
Leicestershire
LE4 6AW.
The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services and treatment of disease, disorder or injury, family planning and surgical procedures.
The practice is situated within the Leicester City Integrated Care Board (ICC) and delivers General Medical Services (GMS) to a patient population of about 6,500. This is part of a contract held with NHS England.
The practice is one of three practices managed by the provider. It is part of a wider network of eight GP practices in the local area which have formed the Leicester Foxes primary care network (PCN).
Information published by Public Health England shows that deprivation within the practice population group is in the third lowest decile (three of 10). The lower the decile, the more deprived the practice population is relative to others.
According to the latest available data, the ethnic make-up of the practice area is 76% Asian,16 % White, 4% Black, 2% Mixed, and 2% Other.
The age distribution of the practice population closely mirrors the local and national averages however the practice has a higher number of patients registered from the age of 25 to 49 compared to the local and national average.
There are four GPs working at the practice with one of the providers two GP partners based at the practice supported by four long term locum GPs. The practice has a team of one advanced nurse practitioner and two nurses who provide clinics for long-term conditions. A health care assistant and two phlebotomists support the clinical team. Support from pharmacists, health visitors, midwives, social prescribers, district nurses and social workers is available. The GPs are supported at the practice by the practice and deputy practice manager with a team of reception/administration staff.
The practice is open between 8 am to 6.30 pm Monday to Friday. With GP only appointments available on Monday, Tuesday, Wednesday and Friday up to 7 pm. The practice offers a range of appointment types including book on the day, telephone consultations and advance appointments.
Extended access is provided locally by Leicester City Healthcare Hubs, where late evening and weekend appointments are available.
Out-of-hours GP services are provided by DHU.
Updated
29 July 2022
We carried out an announced inspection at Brandon Surgery Dr R Kapur on 30th September 2021. Overall, the practice is rated as Good.
Set out the ratings for each key question
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Why we carried out this inspection
This inspection was a comprehensive inspection as part of our inspection schedule where we looked at the key questions of safe, effective, caring, responsive and well-led.
How we carried out the inspection
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 and good for all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- 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.
- Staff feedback was consistently positive about the leaders and managers within the practice.
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