Background to this inspection
Updated
17 January 2020
St James Health Centre is located at 29 Great George Square, Liverpool, L1 5DZ. The surgery is based in the centre of Liverpool city centre, has good transport links and there is a pharmacy located nearby.
The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services and treatment of disease, disorder or injury.
St James Health Centre is situated within the Liverpool Clinical Commissioning Group (CCG) and provides services to 5514 patients under the terms of a personal medical services (PMS) contract. This is a contract between general practices and NHS England for delivering services to the local community.
The provider is a partnership consisting of two GP partners. There have been some recent partner changes at the practice. The practice employs two salaried GPs and several regular male and female locum GPs, an advanced nurse practitioner, an assistant practitioner, practice manager and several administration staff. The practice employs a pharmacist two days each week.
The National General Practice Profile states that 8.9% of the practice population is from an Asian background with a further 5.1% of the population originating from black, and mixed or other non-white ethnic groups. Information published by Public Health England, rates the level of deprivation within the practice population group as one, on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.
The practice provides single storey ground floor facilities accessible to disabled patients. The facilities include toilet, waiting area, private consulting / treatment rooms. Car parking is available on site.
Out of hours services are provided by Primary Care 24.
Updated
17 January 2020
We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:
Because of the assurance received from our review of information we carried forward the ratings for the following key questions:
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We provided the practice with Care Quality Commission feedback cards prior to the inspection and we received 21 completed cards. Patients were extremely positive about their experiences, practice staff and the care and treatment they received.
We have rated this practice as good overall and good for all population groups.
We found that:
- Patients’ needs were assessed, and care and treatment was delivered in line with current legislation, standards and evidence-based guidance supported by clear pathways and tools.
- The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided.
- Staff had the skills, knowledge and experience to deliver effective care, support and treatment.
- Staff worked together and with other organisations to deliver effective care and treatment.
- There was compassionate, inclusive and effective leadership at all levels. This included working with and supporting the practice Patient Participation group (PPG).
- The practice had a clear vision and set of values that prioritised quality and sustainability.
- The practice had a culture which drove high quality sustainable care.
- There were clear responsibilities, roles and systems of accountability to support good governance and management.
- There were clear and effective processes for managing risks, issues and performance.
The areas where the provider should make improvements are as follows. The provider should:
- Should review the practice arrangements for ensuring staff have access to a Freedom to Speak Up Guardian.
- Continue to review and monitor the data that falls below the Clinical Commissioning Group (CCG) and national averages.
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
People experiencing poor mental health (including people with dementia)
Updated
17 January 2020