We carried out an announced comprehensive inspection at Ormskirk House Surgery on the 22nd October 2015. The overall rating for the practice was good and Safe required improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Ormskirk House Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 19 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 22 October 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Our key findings were as follows:

• The practice had addressed the issues identified during the previous inspection.

• They had provided fire risk assessments and environmental risk assessments with regular inspections carried out by their health and safety advisors. Staff had undertaken fire training.

• They have implemented an audit sheet in each clinical room undertaken on a monthly basis in line with checking medication to ensure that no out of date stock was stored.

• All training records had been reviewed to ensure that all staff had evidence of updated training relevant to their role. Training had been updated with safeguard training for all staff.

• They had shared incidents of risk and complaints with all staff to help improve shared learning within the team.

• The appointment system had been reviewed. They had increased more online bookable appointments and advertised online access and promote the service. They provided pre bookable appointments for two weeks in advance for GP’s and had a number of “on the day” appointments available for GP’s of choice.

• Policies and procedures had been reviewed to include written guidance to cover ‘Business continuity plans’ and ‘Governance systems’ within the practice to help mitigate risks of health and safety within the practice.

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We reviewed the information available to us about Ormskirk House Surgery on 24 May 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.