6 March 2020
During an inspection looking at part of the service
We carried out an announced comprehensive inspection at Peel House Medical Practice, the registered location for the extended access service provided by Lancashire EU of GPs Limited on 11 and 12 June 2019 as part of our inspection programme. We rated the service as good overall with requires improvement for providing safe services.
At our inspection in June 2019 we rated the practice as requires improvement for providing safe services because:
- Records demonstrating satisfactory evidence of conduct in previous employment such as professional and personal references were not available nor was evidence of staff identity available.
We also indicated improvements should be made as follows:
- Implement a quality assurance system to monitor compliance with the service level agreements that are in place with host locations and with staff.
- Make sure appropriately signed patient group directions (PGDs) are available at the relevant host locations.
The full comprehensive report on the June 2019 inspection can be found by selecting the ‘all reports’ link for Peel House Medical Practice on our website at www.cqc.org.uk.
On 6 March 2020, we carried out a focused, desk-based review of the safe key question. We reviewed evidence submitted by the service to confirm it had carried out the plan to meet the legal requirements in relation to the breach of regulation identified in our previous inspection on 11 and 12 June 2019. This report covers our findings in relation to that requirement and also additional improvements made since our last inspection.
At this inspection, we found that the provider had satisfactorily addressed all legal requirements and were implementing action as appropriate in response to the suggestion for improvements.
We have rated this practice as good for providing safe services.
We found that:
- The service had reviewed and updated its recruitment policy and taken action to ensure appropriate records were obtained for the existing employees and for newly employed staff.
- The service had reviewed and updated its service level agreements with the host locations and with the GPs that worked within the service. The provider undertook opportunistic quality monitoring visits to the locations from which it provided extended access services from and these were logged within a diary. Going forward from April 2020, a more formalised system of monitoring will be implemented.
- The service had reviewed all available guidance alongside the role and responsibilities of the nurses it employed and assured themselves that patient group directions were not required.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care