22 October 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
This is the report from our announced comprehensive inspection of Garston and West Speke Health Centre. The service operates from two sites; one in Garston, 32 Church Road Liverpool L19 2LW and one in Blackstock Hall Road, Speke, Liverpool L24 3TY. We inspected both sites on the 22 October 2015. Where information in the report refers to the practice, this refers to both sites unless otherwise specified.
We previously undertook a focused inspection at the Garston site only in February 2015 in response to an issue of concern. We issued two Requirement Notices as a result of our findings and requested an action plan.
Overall the practice is rated good.
Our key findings across all the areas we inspected were as follows:
- The provider had met the Requirement Notices and made improvements in quality assurance processes.
- A Local Medical Director had been recently appointed to oversee the clinical governance of the practice and was proactively encouraging the use of clinical audits to ensure patients received treatment in line with best practice standards.
- The practice had good facilities including disabled access and translation services and three of the GPs spoke other languages.
- There were systems in place to mitigate safety risks including analysing significant events and safeguarding.
- The practice was clean and tidy.
- The practice used a pharmacy advisor to ensure the practice was prescribing in line with current guidelines.
- Information about services and how to complain was available. The practice sought patient views about improvements that could be made to the service, including having a patient participation group (PPG) and acted on feedback.
- Staff worked well together as a team and all felt supported to carry out their roles.
However the provider should consider improving the service by:-
- Reconsider the risk assessment for the need for a defibrillator at the branch surgery.
- Review the storage of emergency drugs at the branch practice to allow easy access.
- Have a systematic approach to whether the practice implements best practice guidance and record the rationale if the guidance is not followed.
- Revisit the register of patients with learning disabilities to ensure that all care plans are updated.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice