Background to this inspection
Updated
31 May 2018
Cumberland House Surgery is operated by the provider Cumberland House Surgery. The practice is situated at 58 Scarisbrick New Road, Southport PR8 6PG. The website address is www.cumberlandhousesurgery.co.uk
The provider is registered to provide the following regulated activities; treatment of disease, disorder or injury, surgical procedures, diagnostic and screening procedures, family planning and maternity and midwifery services.
The practice provides a range of primary medical services including examinations, investigations and treatments and a number of clinics such as clinics for patients with diabetes, asthma and hypertension. The practice is responsible for providing primary care services to approximately 10060 patients. The practice is based in an area with lower levels of economic deprivation when compared to other practices nationally. The practice is part of Southport and Formby Clinical Commissioning Group (CCG).
The staff team includes five general practitioners who are partners and two salaried GPs. There is a practice nurse prescriber, a practice nurse and two healthcare assistants, a practice manager, deputy managers and administration and reception staff. Four GPs are female, three GPs are male and the nursing team are female.
Cumberland House Surgery is open Monday to Friday 8am to 6.30pm, with extended hours opening until 7.45pm on Monday and Wednesday. Patients can book appointments in person, via the telephone or online. The practice provides telephone consultations, pre-bookable consultations, on the day appointments, urgent consultations and home visits. The practice treats patients of all ages and provides a range of primary medical services.
Outside of practice opening hours patients can access the out of hours GP provider by calling the NHS 111 service. The practice is a training practice.
Updated
31 May 2018
This practice is rated as Good overall. (Previous inspection July 2015 – Good)
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 Cumberland House Surgery on 11 April 2018 this inspection was carried out as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- Patients commented positively on the care received by the practice.
- The practice responded to complaints in a timely and open manner.
- Staff reported there was high staff morale and low turnover of staff.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw areas of outstanding practice:
- The practice had information about an interpreter service available in clinical rooms and waiting areas. The poster explained the service in four different languages and the practice explained the languages chosen represented the majority of the languages spoken by patients registered at the practice.
- The practice had commenced group consultations for patients with diabetes to use clinical time more effectively and to offer this group of patients peer support.
The areas where the provider should make improvements are:
- Carry out more detailed risk assessments with regard to the decision by the practice not to carry out Disclosure and Barring Service (DBS) checks on non-clinical staff to ensure the reason for the decision is clearly documented.
- The extended role of the health care assistant to support GPs with the triage system should be supported by a detailed protocol.
- Carry out a review of children on the child protection register to confirm the reason for inclusion on the register.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice