Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Drs Misra and Bird Surgery on 13 and 14 October 2016. The overall rating for the practice was good but required improvement in providing safe services. The full comprehensive report on the 13 and 14 October 2016 inspection can be found by selecting the ‘all reports’ link for Drs Misra and Bird Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 March 2017 at 41Moss Lane, Bootle Merseyside L20 0EA 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 13 and 14 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good and now good for providing safe services.

Our key findings were as follows:

• The practice had addressed the issues identified during the previous inspection.
• There were improvements in compliance with fire safety and health and safety.

• Disclosure and barring (DBS) checks were carried out for all staff.
• Documents containing confidential information were appropriately stored and disposed of.

In addition, the practice had made the following improvements:

• The infection control policy had been updated. The practice had completed where practical, actions identified in the external infection control audit from July 2016.
• Safeguarding meetings were documented.
• Hard copies of the business contingency were available.
• The practice policy and patient information leaflet had been updated and included the correct details of who the patient should complain to if they were dissatisfied with the practice’s response to their complaint.
• There were systems to treat verbal complaints in the same way as written complaints.

• There was a register of patients who had Deprivation of Liberty Safeguards (DoLS) in place.
• The practice had first aid kits and accident recording books.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We spoke with five patients during our inspection. They told us they were very satisfied with the service provided. Comments included, “The reception staff are very pleasant and take every opportunity to help you,” and “I have no concerns about getting an appointment.”

Patients we spoke with confirmed they had sufficient time during the consultation and that treatment was explained to them. Comments included,”The nurse and health care assistant really put you at your ease. You don’t feel rushed,” and “The service is excellent. The GP takes time to explain things. All the staff are extremely caring and approachable.”

We saw records confirming fridges storing vaccinations were checked each day to ensure they were at the required temperature. Records were kept of the expiry dates of the vaccines stored in order.

The Practice Manager confirmed the practice only carried out Disclosure and Barring service (DBS) checks for clinical staff. These checks provide employers with an individual's full criminal record and other information to assess the individual's suitability for the post. Following discussion the Practice Manager confirmed a risk assessment would be completed on all administration roles to support their decision not to carry out DBS checks.

The practice carried out audits and checks to monitor the quality of services provided. Staff we spoke with described recent audits completed including availability of appointments and medicines management.

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Drs Misra and Bird Surgery on 13 and 14 October 2016. The overall rating for the practice was good but required improvement in providing safe services. The full comprehensive report on the 13 and 14 October 2016 inspection can be found by selecting the ‘all reports’ link for Drs Misra and Bird Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 March 2017 at 41Moss Lane, Bootle Merseyside L20 0EA 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 13 and 14 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good and now good for providing safe services.

Our key findings were as follows:

• The practice had addressed the issues identified during the previous inspection.
• There were improvements in compliance with fire safety and health and safety.

• Disclosure and barring (DBS) checks were carried out for all staff.
• Documents containing confidential information were appropriately stored and disposed of.

In addition, the practice had made the following improvements:

• The infection control policy had been updated. The practice had completed where practical, actions identified in the external infection control audit from July 2016.
• Safeguarding meetings were documented.
• Hard copies of the business contingency were available.
• The practice policy and patient information leaflet had been updated and included the correct details of who the patient should complain to if they were dissatisfied with the practice’s response to their complaint.
• There were systems to treat verbal complaints in the same way as written complaints.

• There was a register of patients who had Deprivation of Liberty Safeguards (DoLS) in place.
• The practice had first aid kits and accident recording books.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice