Archived: Lever Chambers 2

We carried out an announced inspection at Lever Chambers 2 on 7 April 2022. Overall, the practice is rated as inadequate.

Set out the ratings for each key question

Safe - inadequate

Effective - inadequate

Caring – good

Responsive - good

Well-led - inadequate

Why we carried out this inspection

This inspection was a comprehensive inspection which included a site visit. The inspection was carried out following changes to the practice registration in September 2021 whereby they registered this location as an individual provider, previously a partnership.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Obtaining staff feedback using questionnaires sent electronically, by telephone and face to face interviews where requested.
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A site visit to both the main site and the branch site.

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected.
• information from our ongoing monitoring of data about services.
• information from the provider, patients, the public and other organisations.
• Findings from the clinical searches on the patient records system.

We have rated this practice as Inadequate overall

We found that:

• Staff dealt with patients with kindness and respect.
• Patients could access care and treatment in a timely way.

We found four breaches of regulations. The provider must:

• Ensure care and treatment is provided in a safe way to patients
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care
• Ensure sufficient numbers of suitably qualified, competent, skilled and experienced persons are deployed to meet the fundamental standards of care and treatment
• Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

I am placing this service in special measures. The Care Quality Commission will refer to and follow its enforcement policy in dealing with the risks identified at the inspection.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care