Background to this inspection
Updated
13 February 2019
The registered provider for the service is Urgent Care 24 Limited. The provider is a social enterprise providing a range of urgent and primary care services across four clinical commissioning groups (CCGs).
The provider is registered to provide the following regulated activities: Diagnostic and screening, maternity and midwifery and treatment of disease, disorder or injury.
We inspected Crossways Surgery, 168 Liverpool Road, Great Crosby, Liverpool, the location from which the regulated activities are provided.
The Staff team includes two salaried GPs (one male, one female) one practice nurse, one health care assistant, a practice manager and an administrative/reception team.
The practice provides GP services to approximately 2,700 patients living in the Crosby area of Merseyside. The practice is located in an area with lower than average levels of deprivation. The practice has a higher than average population group for patients over the age of 65 years.
The practice is open Monday to Friday 8am to 6.30pm. Patients can book appointments in person, via the telephone or online.
The practice provides telephone consultations, pre-bookable appointments, on the day appointments, urgent appointments and home visits. The practice treats patients of all ages and provides a range of primary medical services.
Crossways Surgery has an Alternative Provider Medical Services (APMS) contract with NHS England. The practice is part of South Sefton Clinical Commissioning Group (CCG).
Outside of practice opening hours patients can access the extended GP access service. Outside of this they can contact the GP out of hours service by calling NHS 111.
Updated
13 February 2019
This practice is rated as Good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Crossways Surgery on 14 December 2018 as part of our inspection programme.
At this inspection we found:
- The practice had systems to manage risk and to ensure that safety incidents were less likely to happen. When safety incidents did happen, the practice learned from them and improved their processes.
- There were systems in place to reduce risks to patient safety. A risk register was in place and this was monitored and fed in to the provider’s risk register.
- Procedures to prevent the spread of infection were in place and regular Infection control and cleanliness audits were carried out.
- Systems were in place to deal with medical emergencies and staff were trained in basic life support.
- Clinicians assessed patients’ needs and delivered care in line with current evidence based guidance.
- Systems to review the effectiveness and appropriateness of the care provided were in place and being developed further.
- Clinical audits were carried out and the results of these were used to improve outcomes for patients.
- Data showed that outcomes for patients at this practice were similar to outcomes for patients locally and nationally.
- Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Staff told us they felt supported in their roles and with their professional development.
- Patients told us they were treated with dignity and respect and they were involved in decisions about their care and treatment.
- The provider learnt from complaints and made improvements to the service as a result.
- There was a clear leadership and staff structure and staff understood their roles and responsibilities.
- The provider had a clear vision to provide a safe, good quality service.
- Systems were in place to check on the quality of the service.
- There were systems in place for clinical governance and these were being further developed.
The areas where the provider should make improvements are:
- Review the newly introduced governance systems for example, provider level oversight of; performance data, medicines management and health safety related checks to ensure these are effective in monitoring the quality of the service provided and drive improvement.
- Ensure a system is in place for monitoring patients referred for tests or investigations under the two-week wait rule.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice