Churchtown Medical Centre in Churchtown, Southport is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, services for everyone and treatment of disease, disorder or injury. The last inspection date here was 26th October 2017
Churchtown Medical Centre is managed by Churchtown Medical Centre.
Contact Details:
Address:
Churchtown Medical Centre 137 Cambridge Road Churchtown Southport PR9 7LT United Kingdom
Telephone:
01704224416
Ratings:
For a guide to the ratings, click here.
Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good
Further Details:
Important Dates:
Last Inspection
2017-10-26
Last Published
2017-10-26
Local Authority:
Sefton
Link to this page:
Inspection Reports:
Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Churchtown Medical Centre on 26 May 2016. The overall rating for the practice was requires improvement. The practice was required improvement for safe and well-led services. Requirement notices were made as improvements were needed in the safety and suitability of the premises, staffing and staff recruitment and to governance systems. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Churchtown Medical Centre on our website at www.cqc.org.uk.
This inspection was undertaken on 3 October 2017 and was an announced comprehensive inspection.
Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There were systems in place to reduce risks to patient safety, for example, equipment checks were carried out, there were systems to protect patients from the risks associated with insufficient staffing levels and to prevent the spread of infection.
Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse.
Patients’ needs were assessed and care was planned and delivered following best practice guidance.
Staff felt supported. They had access to training and development opportunities appropriate to their roles.
Patients said they were treated with compassion, dignity and respect. We saw staff treated patients with kindness and respect.
Services were planned and delivered to take into account the needs of different and diverse patient groups.
Access to the service was monitored and steps taken to ensure access was improved.
There was a system in place to manage complaints.
There were systems in place to monitor and improve quality and identify individual risks however the service did not ensure there was an overview of significant events that had taken place.
Areas of practice where the provider had improved since the previous inspection were:
A range of policies and procedures for infection prevention and control were now in place and staff could access them on the practice intranet site.
Certificates and maintenance records indicated that all clinical and general equipment was cleaned, calibrated and serviced in keeping with the manufacturer’s instructions. We saw for example the gas and fixed electrical wiring safety certificates for the premises and legionella risk assessment and water temperature checks.
The practice had implemented a quality improvement programme which included clinical audits being undertaken in response to local and national priorities.
A patient participation group had been actively encouraged and supported.
Processes were in place to report and review serious incidents. Reports indicated that lessons learnt were discussed with staff and action taken to prevent a repeat incident. The practice did not have a process in place however, to review all incidents at the same time so that possible themes and trends could be identified.
A detailed business continuity plan had been developed this provided information for staff to follow in the case of events that could cause the service to stop. For example flue pandemics; cyber-attacks or damage to the premises.
A mandatory training plan had been implemented and the records indicated all staff had completed the courses required.
Staff appraisals had been implemented and most staff had received appraisals.
A staff recruitment policy was now in place and appropriate pre-employment checks were completed and records kept.
However, there were areas of practice where the provider should make improvements and the provider should:
Review significant events and complaints periodically in order to identify themes and trends and learn from these.
Review the system for documenting action taken in response to patient safety alerts.
Review whether actions taken to reduce risks have worked.
Review systems in order to identify more patients who are carers so that appropriate timely support can be offered.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Churchtown Medical Centre on 26 May 2016. The overall rating for the practice was requires improvement. The practice was required improvement for safe and well-led services. Requirement notices were made as improvements were needed in the safety and suitability of the premises, staffing and staff recruitment and to governance systems. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Churchtown Medical Centre on our website at www.cqc.org.uk.
This inspection was undertaken on 3 October 2017 and was an announced comprehensive inspection.
Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There were systems in place to reduce risks to patient safety, for example, equipment checks were carried out, there were systems to protect patients from the risks associated with insufficient staffing levels and to prevent the spread of infection.
Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse.
Patients’ needs were assessed and care was planned and delivered following best practice guidance.
Staff felt supported. They had access to training and development opportunities appropriate to their roles.
Patients said they were treated with compassion, dignity and respect. We saw staff treated patients with kindness and respect.
Services were planned and delivered to take into account the needs of different and diverse patient groups.
Access to the service was monitored and steps taken to ensure access was improved.
There was a system in place to manage complaints.
There were systems in place to monitor and improve quality and identify individual risks however the service did not ensure there was an overview of significant events that had taken place.
Areas of practice where the provider had improved since the previous inspection were:
A range of policies and procedures for infection prevention and control were now in place and staff could access them on the practice intranet site.
Certificates and maintenance records indicated that all clinical and general equipment was cleaned, calibrated and serviced in keeping with the manufacturer’s instructions. We saw for example the gas and fixed electrical wiring safety certificates for the premises and legionella risk assessment and water temperature checks.
The practice had implemented a quality improvement programme which included clinical audits being undertaken in response to local and national priorities.
A patient participation group had been actively encouraged and supported.
Processes were in place to report and review serious incidents. Reports indicated that lessons learnt were discussed with staff and action taken to prevent a repeat incident. The practice did not have a process in place however, to review all incidents at the same time so that possible themes and trends could be identified.
A detailed business continuity plan had been developed this provided information for staff to follow in the case of events that could cause the service to stop. For example flue pandemics; cyber-attacks or damage to the premises.
A mandatory training plan had been implemented and the records indicated all staff had completed the courses required.
Staff appraisals had been implemented and most staff had received appraisals.
A staff recruitment policy was now in place and appropriate pre-employment checks were completed and records kept.
However, there were areas of practice where the provider should make improvements and the provider should:
Review significant events and complaints periodically in order to identify themes and trends and learn from these.
Review the system for documenting action taken in response to patient safety alerts.
Review whether actions taken to reduce risks have worked.
Review systems in order to identify more patients who are carers so that appropriate timely support can be offered.
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