Archived: Family Centre (Kirby) Limited

Updated 26 November 2015

Family Centre (Kirby) Limited is a Private Limited Company registered with Companies House on 26 February 2014. The practice had formerly been operated from purpose built premises which opened in 1993 by a husband and wife GP partnership up to their retirement in the spring of 2014. At the time of our inspection the surgery was operated by Family Centre (Kirby) Limited who, after consultation with NHS England and the local community, were to relocate services from Sidney Powel Avenue to Towerhill, Primary Care Resource Centre, Kirkby, Liverpool on 31 March 2015.

The practice provides medical services under the terms of a Personal Medical Services (PMS) contract. In view of the scheduled surgery relocation the patient list size has reduced over recent months from 3800 to 3200 patients at the time of inspection.

The practice is part of NHS Knowsley Clinical Commissioning Group (CCG). It is situated in a location that has above average areas of deprivation. The practice population is made up of a generally typical population profile for England, but with slightly higher numbers of younger people.

The practice has available three GPs; two male and one female. There is also a female practice nurse and a female nurse clinician. The clinical team are supported by one Practice Manager and six administration / reception staff.

All facilities are accessible by patients and located on the ground floor.

Updated 26 November 2015

Letter from the Chief Inspector of General Practice

This is the report of findings from our inspection of Family Centre (Kirby) Limited.

We carried out an announced comprehensive inspection on 4 February 2015 at the practice location in Kirkby, Merseyside.

The practice was rated overall as good. They had provided effective and responsive care. The provider [Family Centre (Kirby) Limited] had decided to merge the practice and operate under its new merged arrangements with Dr Maassarani and Partners as from 21 April 2015 at a new location in order to continue meet the needs of the population it served.

Our key findings were as follows

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
• People’s individual needs were assessed. Care was planned and considered in line with legislation and the promotion of good health to improve patient outcomes.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
• Information about how to complain was available and easy to understand
• This practice has served the local community for many years and had undergone a change process and public consultations in the course of 2014. It had been decided to cease operation of services at the Sidney Powell Avenue location on 31 March 2015 with services being transferred to Towerhill, Primary Care Resource Centre, Kirkby, Liverpool effective as from 1 April 2015.

In addition the provider should:

• Apply to deregister with the Care Quality Commission

or

• If the provider continues to be registered the provider should establish a vision and a strategy relevant to the registration, ensure all staff are have clear responsibilities in relation to it including my means of relevant, specific and up-to date policies, procedures and training. A PPG would need to be established. There should also be a systematic practice wide approach to clinical or internal audit.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 26 November 2015

The practice was rated as good for the care of patients with long term conditions. Patients with long term conditions were managed by the clinicians. Regular reviews of long term conditions were undertaken. Longer appointments and home visits were available when needed. Patients with long term conditions had a structured annual review to check that their health and medication needs were being met.

Updated 26 November 2015

The practice was rated as good for the care of families, children and young people. The practice population is reflective of the community in the borough with a relatively young population, with a proportionately higher number of people under 25 years of age. All staff had received adult and child safeguarding training appropriate to their role. Children and young people were treated appropriately and their consent to treatment obtained in accordance with current legal guidance. Antenatal, childhood immunisation clinics and mother and baby clinics were available. The practice had a system in place to monitor any non-attendance of babies and children at these clinics and worked in collaboration others including the health visiting service to follow up any concerns.

Updated 26 November 2015

The practice was rated as good for the care of older people. Information on healthy living and self-care was available in the in the surgery. Patients aged over 75 had a named GP. Staff were able to identify patients with more complex or multiple care needs well. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people.

Updated 26 November 2015

The practice was rated as good for the care of working age people (including those recently retired and students). The practice had a range of appointments available. Staff were mindful of the needs of this population group would try to accommodate patients who were working to have early or late appointments.

Updated 26 November 2015

The practice was rated as good for the care of people experiencing poor mental health (including people with dementia). The practice kept electronic registers to inform the clinicians and to deliver full assessments of patients’ needs. The practice was able to signpost patients experiencing poor mental health to access support groups and organisations. The practice worked with various agencies, multi-disciplinary teams and mental health services to improve the experience of care and treatment of patients experiencing poor mental health, including those with dementia.

Updated 26 November 2015

The practice was rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances. It had carried out annual health checks for people with a learning disability and it offered longer appointments for people with a learning disability. Staff understood how to identify and safeguard vulnerable patients. The practice team knew how to identify a person at risk and understood what actions to take.