We carried out a review of the data available to us about Greasby Group Practice - PJ Coppock on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Greasby Group Practice - PJ Coppock, you can give feedback on this service.
We carried out an announced comprehensive inspection of this practice on10 May 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the breaches.
We undertook this focused inspection on 20 September 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. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Greasby Group Practice - PJ Coppock on our website at www.cqc.org.uk
The findings of this review were as follows:
The practice had addressed the issues identified during the previous inspection. Overall the practice is now rated as good.
Effective systems were now in place to prevent abuse and to effectively manage safeguarding.
Effective systems were now in place to assess, monitor and improve the quality and safety of services.
Effective systems were now in place to monitor and mitigate the risks relating to the health and safety of patients in relation to infection control and management of prescription security.
The practice reviewed patient feedback and acted upon it.
Risks relating to locum staff records and patient records had been assessed and systems put in place to mitigate the risks.
The practice had acted upon other recommendations to improve care and services.
The areas where the provider should make improvements are:
Review the audit systems in place to include documenting an audit plan with audits carried out being based on national, local and practice priorities.
Review patient feedback systems in place to include documenting feedback results and satisfaction survey action plans.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Greasby Group Practice - PJ Coppock on 10 May 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
Staff had been trained to deal with medical emergencies and emergency medicines and equipment were available.
The areas where the provider must make improvements are:
Ensure safeguarding policies and procedures reflect current guidance and legislation.
Ensure patient records identify those vulnerable patients with specific needs accurately in order for staff to have access to relevant information.
Ensure staff are familiar with the policies and procedures, are trained and have a knowledge and understanding of safeguarding vulnerable adults and children.
Ensure systems and processes are in place for assessing, monitoring and mitigating the risks associated with infections, including those healthcare associated, and risks of unsafe management of prescription pads.
Ensure records relating to patients are stored safely and securely in accordance with current legislation and guidance.
Ensure records relating to staff include information relevant to their employment in the role including information relating to the requirements under Regulations 4 to 7 and Regulation19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Ensure effective audit systems are in place to assess, monitor and improve the quality and safety of services.
Ensure an effective system is implemented by which patient views are analysed, acted on and feedback used to help improve services.
In addition the provider should:
Review the process of sharing lessons learnt from significant events, complaints and audits and review these to identify themes and trends to improve care and outcomes.
Review the system for managing safety alerts and notices to include documenting action taken.
Review staff awareness and understanding of the business continuity plan to minimise risks to patients, staff and others on the premises.
Improve the waiting times for appointments.
Review and document the performance, training and development needs of staff at regular intervals through a robust appraisal system.
Review the training and development plan to include documenting and monitoring of the plan to ensure all staff receive appropriate training for their role
Review clinical and non-clinical staffing levels and include any increase staffing requirements in the practice strategy and business plans.
Review staff meetings to include a governance framework and to disseminate information in relation to quality and safety monitoring to all staff.
Chief Inspector of General Practice
'It's excellent, all the staff are so lovely',
'Five star service'.
We found that there were suitable systems in place to gain consent from the patients. Staff who obtained consent were experienced and knowledgeable in their field of expertise and were able to describe the consent process. Staff were knowledgeable in safeguarding of vulnerable adults and children and had received appropriate training.
We found that patients care and treatment was assessed, planned and delivered in order to meet their needs. Care and treatment plans were fully documented and reviewed and patients were fully informed and involved in their care or treatment.
Staff were trained and supported appropriately however there was no formal monitoring of training and development and one to one or supervision sessions with staff were not documented or formalised. Staff told us they were well supported by the manager and provider.
The provider had systems in place for monitoring the quality of services. Patient satisfaction surveys and some audits were undertaken. There was a complaints policy and procedure, however formal analysis and review of complaints, and events was not carried out. A patient participation group functioned within the practice. Two members of the group that we spoke with gave positive feedback regarding the service and the relationship with the practice staff.