The Care Quality Commission
  • Doctor
  • GP practice

Kingstanding Circle Surgery

Overall: Good read more about inspection ratings

26 Rough Road, Kingstanding, Birmingham, B44 0UY (0121) 647 138

Provided and run by:
Dr R Dhalivaal & Mrs Lisa Floyd

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Kingstanding Circle 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 Kingstanding Circle Surgery, you can give feedback on this service.

4 February 2020

During a routine inspection

We carried out an announced comprehensive inspection at Dr B Sahota & Dr K Cassam (also known as Kingstanding Circle Surgery) on 4 February 2020 as part of our inspection programme to confirm that the practice had carried out their plan to meet the legal requirements in relation to the requirement notices served on the providers following our February 2019 inspection.

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; however, requires improvement in effective key question. We have rated long-term conditions, families, children and young people as well as working age people (including those recently retired and students) population as requires improvement in effective. All other population groups has been rated good.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The practice took action to strengthen processes for ensuring appropriate monitoring of patients prescribed high-risk medicines. Clinicians demonstrated they had access to information to ensure medicines remained safe for patients to receive prior to authorising repeat prescriptions.
  • Records demonstrated that clinical staff participated in care planning.
  • The 2018/19 Quality Outcomes Framework showed performance was in line with local and national averages. Except for exception reporting which was not in line with local and national averages.
  • The practice had a programme of quality improvement activities which was used to review the effectiveness and appropriateness of non-clinical processes. However, there was limited evidence of effective use of clinical audits to monitor clinical outcomes.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care. The 2019 national GP survey results showed patient satisfaction in a number of areas was above local and national averages. Completed CQC comment cards was also aligned with these views.
  • The practice organised and delivered services to meet patients’ needs. 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. There was clear evidence which showed that practice had taken action to strengthen most areas of the governance arrangements which previously impacted on the delivery of safe and effective services.
  • However, we found areas such as the use of clinical data and information which did not routinely support development of actions to improve areas where performance was not in line with local and national averages.
  • The management team participated in a general practice improvement leads programme. This enabled leaders to review workflow as well as identify whether the practice was effectively using staff skill mix. This resulted in non-clinical staff being allocated lead roles in areas such as coordinating childhood immunisation, clinical correspondence, managing safeguarding registers and ensuring staff were competent in signposting patients to the correct clinician.

Whilst we found no breaches of regulations, the provider should:

  • Continue taking action to improve the uptake of childhood immunisation and national screening programmes such as cervical screening.
  • Take action to improve the system of clinical audits including monitoring QoF exception reporting rates and take appropriate action when performance was not in line with local and national averages.

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

04 February 2019

During a routine inspection

We carried out an announced comprehensive inspection at Dr B Sahota & Dr K Cassam (also known as Kingstanding Circle Surgery) on 4 February 2019 as part of our inspection programme.

We last inspection Dr B Sahota & Dr K Cassam in July 2015 we rated the practice as good for providing safe, effective, caring, responsive and well-led services.

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 requires improvement overall due to concerns in providing safe and effective services. People with long-term conditions and people experiencing poor mental health (including people with dementia) population groups were rated as requires improvement because the issues identified in effective impacted on these population groups. However, all other population groups was rated as good.

We rated the practice as requires improvement for providing safe and effective services because:

  • There was process for monitoring patients’ health in relation to the use of medicines including high risk medicines; however, process were not always carried out effectively.
  • A sample of care records we viewed indicated that appropriate monitoring of patients prescribed high-risk medicines was not always carried out in line with the practice processes. Clinicians were not always able to demonstrate that they had accessed all information necessary to provide assurances that medicines remained safe for patients to receive prior to issuing a repeat prescription.
  • Following our inspection, the practice provided additional evidence demonstrating they had taken actions to ensure staff were following processes for appropriate monitoring of patients’ health in relation to the use of medicines.
  • Patients received care and treatment that generally met their needs. However, the practice could not demonstrate that it had participated fully in care planning for patients.
  • The 2017/18 Quality Outcomes Framework (QOF) achievements for the practice showed variation in how the practice was performing compared to local and national averages. The practice was aware of areas which was lower than local and national averages and were taking action. These areas included exception reporting and care management for patients diagnosed with mental health related illness.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.

We rated the practice as good for providing caring, responsive and well-led services because:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care. The 2018 national GP survey results as well as completed CQC comment cards was aligned with these views.
  • The practice organised and delivered services to meet patients’ needs. 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 in most areas. However, there were areas of the governance arrangements which impacted on the delivery of safe and effective services.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.

Whilst we found breaches of regulations, the provider should:

  • Review arrangements between the practice and other health and social care professionals to ensure clinical care is appropriately communicated.

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

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

8 July 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr K Sahota and Dr B Cassam’s Kingstanding Circle Surgery on 8 July 2015. Overall the practice is rated as good.

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. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice facilities were mostly satisfactory and equipped to treat patients and meet their 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.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

  • Ensure that processes for managing prescription recording, handling, storing and security are strengthened.
  • Ensure that all complaints are recorded and action taken is detailed to capture the positive approach staff take in response to resolving patient’s complaints.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice