Tarbock Medical Centre

Updated 30 October 2017

Manor Farm Primary Care Resource Centre is responsible for providing primary care services to approximately 3918 patients. The practice is situated in Manor Farm Road in Huyton, Merseyside. The practice is based in an area with lower levels of economic deprivation when compared to other practices nationally.

The staff team includes one partner GP, one salaried GP and a locum GP who provides one session per week. There is a practice nurse, a practice manager and administration and reception staff. The GP partner and salaried GP are male and the locum GP and practice nurse are female.

Manor Farm Primary Care Resource Centre is open from 8am to 6.30pm Monday to Friday. An evening surgery is provided until 7.30pm on Wednesdays. Patients are also directed to a local walk-in centre which is open every day Monday to Saturday 8am to 9pm and Sunday and bank holidays 10am to 9pm. Patients requiring a GP outside of these hours are advised to contact the GP out of hours service, by calling 111.

The practice is in a purpose built building that is shared with another GP practice and community health services such as health visiting and midwifery. The practice is situated on the ground floor and provides access to patients with a physical disability. A large car park is available for patients and staff.

The practice has a Personal Medical Service (PMS) contract. The practice offers a range of enhanced services including, extended hours, learning disability health checks, alcohol related risk reduction and proactively identifying and responding to the needs of frail patients.

Updated 30 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Manor Farm Primary Care Resource Centre on 10 October 2017.

Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There were systems in place to reduce risks to patient safety, for example, equipment checks were carried out and there were systems to prevent the spread of infection.

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.

• Staff felt supported and they had access to training and development opportunities appropriate to their roles.

• Patients said they were treated with compassion, dignity and respect. We saw staff treated patients with kindness and respect.

• Services were planned and delivered to take into account the needs of different patient groups.

• There was a system in place to manage complaints.

• There were systems in place to monitor and improve quality and identify risk.

The areas where the provider should make improvements are:

• The scope of issues considered to be a significant event should be broadened and the significant event log should contain all events relevant to the practice.
• Checks of cleaning standards should be recorded.
• Monitor recruitment records to ensure that all the required information is obtained.
• The salaried GP should have an in-house appraisal in addition to the external appraisal process.
• A central system to monitor staff training should be put in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 October 2017

The practice is rated as good for the care of people with long-term conditions. The practice held information about the prevalence of specific long term conditions within its patient population such as diabetes, chronic obstructive pulmonary disease (COPD), cardio vascular disease and hypertension. This information was reflected in the services provided, for example, reviews of conditions and treatment, screening programmes and vaccination programmes. The practice had a system in place to re-call patients to make sure they received regular reviews for long term conditions. The practice nurse offered longer appointments and visited housebound patients to carry out long term condition reviews.  All patients with a long term condition had a named GP and patients identified as at high risk of hospitalisation had a telephone number to enable quicker access to a GP in the event of an emergency. The practice had multi-disciplinary meetings to discuss the needs of palliative care patients and patients with complex needs. The practice worked with other agencies and health providers to provide support and access to specialist help when needed.

Updated 30 October 2017

The practice is rated as good for the care of families, children and young people. Child health surveillance and immunisation clinics were provided. Priority was given to young children who needed to see the GP and appointments were available outside of school hours. The staff we spoke with had appropriate knowledge about child protection and how to report any concerns. Child health promotion information was available on the practice website and in leaflets displayed in the waiting area. Family planning and sexual health services were provided.

Updated 30 October 2017

The practice is rated as good for the care of older people. The practice kept registers of patients’ health conditions and used this information to plan reviews of health care and to offer services such as vaccinations for flu and shingles. All patients over 75 had a named GP. The practice worked with other agencies and health providers to provide support and access specialist help when needed. Care plans were in place for patients with a high risk of being admitted to hospital. The practice had reviewed the needs of approximately 60 patients identified as frail in the last four months. This had included a medication review to prevent falls and a referral had also been made to the local falls prevention team who had assessed what support could be offered. Older patients had a telephone number to enable quicker access to a GP in the event of an emergency.

Updated 30 October 2017

The practice is rated as good for the care of working-age people (including those recently retired and students). The practice appointment system and opening times provided flexibility to working patients and those in full time education. The practice was open from 8am to 6.30pm Monday to Friday. An evening surgery was provided until 7.30pm on Wednesdays. Patients could book appointments in person, via the telephone and on-line. Repeat prescriptions could be ordered on-line and by attending the practice. Telephone consultations were also provided. The practice website provided information around self-care and local services available for patients. The practice offered health promotion and screening that reflected the needs of this population group such as cervical screening, contraceptive services, smoking cessation advice, NHS health checks and family planning services. Reception staff sign-posted patients who did not necessarily need to see a GP, for example patients were advised about physiotherapy services.

Updated 30 October 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice maintained a register of patients who experienced poor mental health. The register supported clinical staff to offer patients experiencing poor mental health, including dementia, an annual health check and a medication review. Care plans were in place to support patients. The practice worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. The practice referred patients to appropriate services such as memory clinics, psychiatry and counselling services. Patients were also signposted to relevant services such as Age UK, and the Alzheimer’s Society.   

Updated 30 October 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable. A register was kept of patients with a learning disability, the practice nurse was the lead clinician for these patients, a flexible appointment system was in place to meet their needs and a system to ensure these patients received an annual health check. T he staff we spoke with had appropriate knowledge about safeguarding vulnerable adults and children. Se rvices for carers were publicised and a record was kept of carers to ensure they had access to appropriate support. A member of staff acted as a carer’s link and they were working to identify carers and promote the support available to them. The practice referred patients to local health and social care services for support, such as drug and alcohol services and to the well-being service. The practice worked with other agencies and health providers to provide support and access to specialist help when needed.