Background to this inspection
Updated
16 August 2021
Park Road Group Practice (also known as The Elms Medical Centre) is located in Liverpool at:
3 The Elms
Liverpool
Merseyside
L8 3SS
The provider is registered with CQC to deliver the Regulated Activities
- Diagnostic and screening procedures
- Family Planning
- Maternity and midwifery services
- Treatment of disease, disorder or injury
- Surgical procedures
The practice is situated within the Liverpool Clinical Commissioning Group (CCG) and delivers General Medical Services (GMS) to a patient population of about 9,330. This is part of a contract held with NHS England.
The practice is part of a wider network of GP practices Liverpool Central Primary Care Network.
Information published by Public Health England shows that deprivation within the practice population group is in the first lowest decile (one of 10). The lower the decile, the more deprived the practice population is relative to others.
According to the latest available data, the ethnic make-up of the practice area is 85% white, 4% Black, 4% Mixed, 4% Asian and 3% other.
The age distribution of the practice population has a higher number of younger working age people registered than the clinical commissioning group and England average. There are more female patients registered at the practice compared to males.
There is a team of three partner GPs and eight salaried GP’s. The practice has a team of three nurses who provide nurse led clinic’s for long-term condition, supported by three health care assistants. The GPs and nurses are supported at the practice by a practice manager, assistant practice manager, care coordinator, appointment supervisor, reception/administration staff and an information management and technology coordinator.
Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance, most GP appointments were telephone consultations. If the GP needs to see a patient face-to-face then the patient is offered a choice of either the main GP location or the branch surgery.
Extended access is provided at the practice Monday 6:30pm-8.30pm and Friday 7:30am-8am. Out of hours services are provided by NHS 111.
Updated
16 August 2021
Following our previous inspection on 14 January 2020, the practice was rated Good overall and for safe, effective, caring and responsive, but requires improvement for providing well led services.
We carried out an announced review at Park Road Group Practice (also known as The Elms Medical Centre) on 26 & 39 July 2021. Overall, the practice is rated as Good.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Park Road Group Practice on our website at www.cqc.org.uk
Why we carried out this review
This review was a follow-up of information without undertaking a site visit inspection to assess the key question:
We reviewed the breach identified at the last inspection of Regulation 17 HSCA (RA) Regulations 2014 Good governance. The regulation was not being met because:
- A comprehensive system was not in place for ensuring emergency drugs and equipment met requirements.
We also reviewed the areas where the previous inspection identified that the provider should make improvements by:
- Reviewing clinical rooms to ensure facilities comply with best practice guidelines.
- Reviewing recruitment files to ensure all necessary documentation is included.
How we carried out the 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 reviews differently.
This included:
- Reviewing action plans sent to us by the provider
- Requesting evidence from the provider
- Speaking with staff using video conferencing
Our findings
We based our judgement of the quality of care at this service on a combination of:
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We did not change the overall rating for this service following our review.
We found that:
- The breach of Regulation 17 Good governance had been addressed and a comprehensive system was now in place for ensuring emergency drugs and equipment met requirements.
- Clinical rooms facilities now complied with best practice guidelines.
- Recruitment files had been reviewed and audited to ensure all necessary documentation was included.
.
Whilst we found no breaches of regulations, the provider should:
- Ensure the emergency drugs protocol wording reflects the appropriate action to be taken.
- Ensure statutory notifications are submitted in a timely manner.
- Continue with the application to register an additional Registered Manager in the absence of the current registered manager.
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