Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on10 May 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the breaches.

We undertook this focused inspection on 20 September 2016 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Greasby Group Practice - PJ Coppock on our website at www.cqc.org.uk

The findings of this review were as follows:

The practice had addressed the issues identified during the previous inspection. Overall the practice is now rated as good.

• Effective systems were now in place to prevent abuse and to effectively manage safeguarding.

• Effective systems were now in place to assess, monitor and improve the quality and safety of services.

• Effective systems were now in place to monitor and mitigate the risks relating to the health and safety of patients in relation to infection control and management of prescription security.

• The practice reviewed patient feedback and acted upon it.

• Risks relating to locum staff records and patient records had been assessed and systems put in place to mitigate the risks.

• The practice had acted upon other recommendations to improve care and services.

The areas where the provider should make improvements are:

• Review the audit systems in place to include documenting an audit plan with audits carried out being based on national, local and practice priorities.

• Review patient feedback systems in place to include documenting feedback results and satisfaction survey action plans.

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 of this practice on10 May 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the breaches.

We undertook this focused inspection on 20 September 2016 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Greasby Group Practice - PJ Coppock on our website at www.cqc.org.uk

The findings of this review were as follows:

The practice had addressed the issues identified during the previous inspection. Overall the practice is now rated as good.

• Effective systems were now in place to prevent abuse and to effectively manage safeguarding.

• Effective systems were now in place to assess, monitor and improve the quality and safety of services.

• Effective systems were now in place to monitor and mitigate the risks relating to the health and safety of patients in relation to infection control and management of prescription security.

• The practice reviewed patient feedback and acted upon it.

• Risks relating to locum staff records and patient records had been assessed and systems put in place to mitigate the risks.

• The practice had acted upon other recommendations to improve care and services.

The areas where the provider should make improvements are:

• Review the audit systems in place to include documenting an audit plan with audits carried out being based on national, local and practice priorities.

• Review patient feedback systems in place to include documenting feedback results and satisfaction survey action plans.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Patients told us they were satisfied with the service provided at the practice. Comments made included:

“It’s excellent, all the staff are so lovely”,

“Five star service”.

We found that there were suitable systems in place to gain consent from the patients. Staff who obtained consent were experienced and knowledgeable in their field of expertise and were able to describe the consent process. Staff were knowledgeable in safeguarding of vulnerable adults and children and had received appropriate training.

We found that patients care and treatment was assessed, planned and delivered in order to meet their needs. Care and treatment plans were fully documented and reviewed and patients were fully informed and involved in their care or treatment.

Staff were trained and supported appropriately however there was no formal monitoring of training and development and one to one or supervision sessions with staff were not documented or formalised. Staff told us they were well supported by the manager and provider.

The provider had systems in place for monitoring the quality of services. Patient satisfaction surveys and some audits were undertaken. There was a complaints policy and procedure, however formal analysis and review of complaints, and events was not carried out. A patient participation group functioned within the practice. Two members of the group that we spoke with gave positive feedback regarding the service and the relationship with the practice staff.