Bootle Village Surgery

Updated 3 August 2016

Bootle Village Surgery is located near the main shopping area of Bootle, Liverpool. The practice is in a deprived area of the country. There were 6150 patients on the practice register at the time of our inspection.

The practice is a training practice and has four GP partners (two male and two female), a foundation 2 trainee GP, a registrar, one practice nurse, and a phlebotomist, reception and administration staff. The practice is open 8am to 6.30pm Monday to Friday. The practice has three morning sessions (Monday and Friday) for open access whereby patients do not need to make an appointment but have to wait to be seen. In addition, the practice nurse was available until 8pm one evening a week.

The practice has a PMS contract and also offers enhanced services for example; various immunisations.

Updated 3 August 2016

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection of this practice on 26 November 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us with an action plan to say what they would do to meet legal requirements in relation to Regulations:

• Regulation 15 HSCA 2008 (Regulated Activities) Regulations 2010 Safety and suitability of premises.

We undertook this focused inspection on the 12 July 2016 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements and issues identified in the previous report. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bootle Village Surgery on our website at www.cqc.org.uk.

Overall the practice is rated as good.

Our key findings were:

The practice had addressed the breaches of regulations and other issues identified during the previous inspection and made improvements including:

• Risk assessments for health and safety had been carried out and action had been taken against the risks identified.
• Purchasing a defibrillator to manage medical emergencies at the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 14 January 2016

The practice is rated as good for providing services for people with long term conditions.  The practice had registers in place for patients with long term conditions including diabetes and asthma. The practice had an in house phlebotomist to avoid the need for patients to attend hospital clinics.

Updated 14 January 2016

The practice is rated as good for providing services for families, children and young people. We previously rated this population group as requires improvement as there were no child safeguarding policies in place. At this inspection, new policies had been implemented. The practice regularly liaised with health visitors.

Updated 14 January 2016

The practice is rated as good for providing services for older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and offered home visits and care home visits. The practice participated in meetings with other healthcare professionals to discuss any concerns. There was a named GP for the over 75s.

Updated 14 January 2016

The practice is rated as good for providing services for working age people. The needs of this population group had been identified and the practice had adjusted the services it offered to ensure these were accessible. For example, the practice offered online appointment bookings and prescription ordering. It also now offered open access clinics twice a week.

Updated 14 January 2016

The practice is rated as good for providing services for people experiencing poor mental health. Patients experiencing poor mental health received an invitation for an annual physical health check. Those that did not attend had alerts placed on their records so they could be reviewed opportunistically.  The practice liaised with local mental health supporting services for example, Access Sefton. Patients where necessary were referred to this service and patients were followed up on the outcomes of their treatment.

Updated 14 January 2016

The practice is rated as good for providing services for people whose circumstances make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks and longer appointments were available for people with a learning disability. One GP took the lead responsibility for looking after patients with drug and alcohol addiction problems. They liaised with the local drugs and alcohol team and reviewed patients regularly.