Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ainsdale Village Surgery on

15 October 2015. The overall rating for the practice was good. However, the practice was rated as requires improvement on the key question of well-led. This was because we found the practice had not updated its registration to reflect that they were delivering family planning services. The full comprehensive report on the October 2015 inspection can be found by selecting the ‘all reports’ link for Ainsdale Village Surgery on our website at www.cqc.org.uk.

This follow-up inspection was a focused desk based review, carried out on 24 January 2017 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

15 October 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

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Overall the practice is now rated as Good

Our key findings were as follows:

• The practice had taken immediate steps to update their registration with the Care Quality Commission, to include the delivery of family planning services by the practice.

At our previous inspection on 15 October 2015, we found the practice had taken steps ensure that all patient data was transferred to a new practice computer system, but this was taking time. Until all records were correctly collated, this placed an extra work burden on GPs which could have impacted on patient safety. When we checked on the progress of this, we saw that the practice had received on-going support from the Clinical Commissioning Group IT team to ensure that patient records had been correctly transferred, meaning all information required by GPs for each consultation could be accessed.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ainsdale Village Surgery on 15 October 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

We saw areas of outstanding practice in relation to the responsiveness of the practice, effectiveness of care and treatment provided, the treatment of more vulnerable patients and for those patients experiencing poor mental health.

• The practice had worked with the travelling community to deliver a comprehensive range of GP led services. They had built up a strong personalised and trusting relationship with these patients, which led to the involvement of the Link Nurse from Liverpool Community Health who dealt with children classified as being ‘out of school’. This led to long term health benefits, for example,children within this community receiving childhood vaccinations.

• Women from this community felt secure enough to receive contraceptive services, health checks such as cervical screening and education on breast health and other associated checks. Older members of the community received flu and shingles vaccinations.

• Clinics for the travelling community were held at the practice, where other health professionals would also be available when these patients visited in groups. This clinic also visited the travellers site when other commitments prevented the practice premises from being used.

• The practice had developed strong links with Southport and Formby Community Mental Health teams (CMHT) which benefitted patients.The practice diagnosis rate for dementia had improved significantly from 34% in October 2014 to 48% in March 2015.

• Data from the NHS England GP Patient Survey showed very high levels of patient satisfaction, from making an appointment with the practice, through to treatment and follow-up care. This practice had not received any complaints or negative feedback about not being able to get through to the practice by phone.

There are areas where the provider MUST make improvements. Importantly the provider must:

• Ensure the practice is registered for all regulated activities delivered.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice