We carried out an announced inspection at Dr P Kerr & Partners (also known as The Wall House Surgery) on 28 September 2021, 12 October 2021 and 13 October 2021. Overall, the practice is rated as Good.
Safe - Good
Effective - Good
Well-led - Good
Following our previous inspection on 17 July 2019, the practice was rated Requires Improvement overall and for providing safe and effective services. The provider was rated as good for providing caring, responsive and well-led services.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr P Kerr and Partners on our website at www.cqc.org.uk
Why we carried out this inspection.
This inspection was a comprehensive inspection to confirm that the provider had met the legal requirements in relation to the breaches of regulation 12 and 19, which were issued due to concerns identified at the previous inspection in July 2019, and to provide a re-rating of the location. The ratings for providing caring and responsive services were carried over from the previous inspection.
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 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.
- The practice recruitment systems kept people safe.
- The practice had safeguarding systems in place to protect patients from 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.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
- The practice had identified ways they could support their vulnerable patients throughout the pandemic including the use of their ‘Wallhouse Campions’ volunteers.
- The practice took part in a number of initiatives to support patients including registration as a “Breastfeeding Friendly” practice.
Whilst we found no breaches of regulations, the provider should:
- Continue to review and ensure patients are appropriately coded on the practice systems to reflect their documented care and treatment.
- Keep the use, storage and disposal of sharps boxes under review.
- Review the security arrangements in relation to computer prescription paper when rooms are not in use.
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