Background to this inspection
Updated
25 October 2019
High Pastures Surgery is located in Maghull, Merseyside.
The practice is run by five GP partners (1 female and 4 male). The team also includes a practice nurse, practice manager, deputy manager and reception and administration staff.
The practice is open 8am to 6.30pm Monday to Friday. Patients can access an extended hours service at another location until 8pm by pre-booked appointment.
Patients requiring a GP outside of normal working hours are advised to contact the surgery and they are then directed to contact the local 111 service to triage their symptoms and be forwarded to an out of hours service.
High Pastures Surgery is situated within South Sefton Clinical Commissioning Group (CCG) and provides services to approximately 10,800 patients under the terms of a General Medical Services (GMS) contract.
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 and family planning, surgical procedures.
There are higher than average number of patients over the age of 65 and an average percentage of patients with a long-standing health condition.
Information published by Public Health England, rates the level of deprivation within the practice population group as nine, on a scale of one to ten. This is within the lower than average range as level one represents the highest levels of deprivation and level ten the lowest.
Male life expectancy is 80 years compared to the national average of 79 years. Female life expectancy is 84 years compared to the national average of 83 year.
Updated
25 October 2019
We carried out an announced focused inspection at High Pastures Surgery on 24 September 2019 due to the length of time since the last comprehensive inspection.
Following our Annual Regulatory Review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: Effective and Well-led.
Because of the assurance received from the Annual Regulatory Review we carried forward the ratings from the last comprehensive inspection for the following key questions: Safe, Caring and Responsive.
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:
- Patients received effective care and treatment that met their needs.
- The way the practice was led and managed promoted the delivery of good quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Review the system for managing patient safety alerts.
- Ensure multi-disciplinary meetings are recorded in sufficient detail to establish the agreements made.
- Consider developing a planned programme of clinical audit.
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
People experiencing poor mental health (including people with dementia)
Updated
25 October 2019