Storrsdale Medical Centre

Updated 19 October 2018

Storrsdale Medical Centre is situated in an affluent area of Liverpool. There were 3,470 patients on the practice register at the time of our inspection.

The practice is managed by two partners one of them is a GP (male), the other is the practice manager. There is one salaried GP (female), an advanced nurse practitioner, a practice nurse (prescriber) and a health care assistant. Members of clinical staff are supported by a practice manager, reception and administration staff. The practice is a teaching practice for medical students from the local university.

Storrsdale Medical Centre is registered with the Care Quality Commission to carry out the following regulated activities:

Diagnostic and screening procedures,

Maternity and midwifery services,

Surgical procedures

Treatment of disease, disorder or injury.

The practice is open 8am to 6.30pm every weekday. 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.

Updated 19 October 2018

This practice is rated as Good overall. The practice was previously inspected on 26 February 2016 and rated good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? –Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Storrsdale Medical Centre on 7 September 2018 as part of our risk based inspection programme.

At this inspection we found:

• The practice had taken on approximately 400 more patients since our last inspection and in response had changed its operating model, in line with the NHS Five Year Forward view, by changing its staffing and appointment structure to enable more appointments to be available to patients with the appropriate clinician. Patients found the appointment system easy to use and reported that they could access care when they needed it.
• There was an emphasis on staff well -being and equality and diversity. Staff were suitably trained for their roles.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. However, we found an example of a safeguarding incident that had not been fully investigated or reported to us. The practice advised us after the inspection that they will be carrying out an incident analysis.
• The practice had emergency medication and equipment but we found there was no monitoring system for expiry dates of defibrillator pads and that they were five months out of date. We were advised during the inspection that these had been ordered.
• There was no monitoring system for the security of blank prescriptions in use in the practice or for home visits. We were advised after the inspection that a system had been put in place.
• There was a complaints system but improvements were needed in terms of monitoring verbal complaints and making sure the system was in line with NHS guidance. We were advised after the inspection that a new system had been put in place.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• There was a strong focus on continuous learning and improvement at all levels of the practice.

We saw areas of outstanding practice:

• For the past five years, the practice had worked successfully with a local charity and had formed a group called ‘Storrsdale Friends’ to combat loneliness within the elderly population group. This involved monthly Sunday lunches held at the practice with members of staff, their families and other patients.
• The practice kept a referral log whereby all referrals were peer reviewed prior to being sent to ensure the appropriateness of the referral.

The areas where the provider should make improvements are:

• Review the practice protocols around prescription security to ensure the written guidance available is implemented.
• Review the practice protocols around managing complaints so that trends from all types of complaints can be monitored.
• Include the expiry dates of defibrillator pads in their emergency equipment monitoring.
• Review their responsibilities to recognise and take the necessary action to make a safeguarding notification to CQC.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 19 October 2018

Updated 19 October 2018

Updated 19 October 2018

Updated 19 October 2018

Updated 19 October 2018

Updated 19 October 2018