Drs Misra and Bird Surgery

Updated 6 April 2017

Drs Misra and Bird Surgery has a main practice based in Crosby and another branch site in Bootle Merseyside. There were 5300 patients on the practice register at the time of our inspection.

The practice is managed by three GP partners (all male) and there is a female locum GP. There is a nurse prescriber, a practice nurse and a healthcare assistant. Members of clinical staff are supported by a practice manager, reception and administration staff.

The practice is open 8am to 6.30pm every weekday with the exception of one afternoon a week at each site. The practice in Crosby is closed on Wednesday afternoons and the practice in Bootle is closed on Thursday afternoons.  The practice also provides later opening until 8pm on alternate Mondays in Crosby  and alternate Wednesdays in Bootle. Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service by calling 111.

The practice has a General Medical Services (GMS) contract and has enhanced services contracts which include childhood vaccinations. The practice is part of the Sefton local commissioning group.

Updated 6 April 2017

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Drs Misra and Bird Surgery on 13 and 14 October 2016. The overall rating for the practice was good but required improvement in providing safe services. The full comprehensive report on the 13 and 14 October 2016 inspection can be found by selecting the ‘all reports’ link for Drs Misra and Bird Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 March 2017 at 41Moss Lane, Bootle Merseyside L20 0EA to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 13 and 14 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good and now good for providing safe services.

Our key findings were as follows:

• The practice had addressed the issues identified during the previous inspection.
• There were improvements in compliance with fire safety and health and safety.

• Disclosure and barring (DBS) checks were carried out for all staff.
• Documents containing confidential information were appropriately stored and disposed of.

In addition, the practice had made the following improvements:

• The infection control policy had been updated. The practice had completed where practical, actions identified in the external infection control audit from July 2016.
• Safeguarding meetings were documented.
• Hard copies of the business contingency were available.
• The practice policy and patient information leaflet had been updated and included the correct details of who the patient should complain to if they were dissatisfied with the practice’s response to their complaint.
• There were systems to treat verbal complaints in the same way as written complaints.

• There was a register of patients who had Deprivation of Liberty Safeguards (DoLS) in place.
• The practice had first aid kits and accident recording books.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 November 2016

The practice is rated as good for providing services for people with long term conditions.  The practice had registers in place for several long term conditions including diabetes and asthma. The practice offered a phlebotomy service to both its patients and to patients from other practices. Longer appointments and home visits were available when needed. All these patients had a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. 

Updated 10 November 2016

The practice is rated as good for providing services for families, children and young people. The practice regularly liaised with health visitors to review vulnerable children and new mothers. However there were no formal documented safeguarding meetings. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. 

Updated 10 November 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 and the practice participated in a local ‘frailty’ scheme to ensure patients received a full assessment of their health and social needs.    

Updated 10 November 2016

The practice is as rated 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. There were online systems available to allow patients to make appointments. Evening appointments were available at both practice sites once a week.

Updated 10 November 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.  

Updated 10 November 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.