Archived: Sefton Road Surgery

Updated 30 April 2018

The registered provider for the service is Dr David Goldberg and Dr Gina Halstead, 17 Merton Road, Bootle, Merseyside L20 3BG. The provider’s website can be reached at; www.concepthousesurgery.nhs.uk

The location from which the regulated activities are provided is Sefton House Surgery, 129 Sefton Road, Litherland, Liverpool, L21 9HG. The surgery treats patients of all ages and provides a range of medical services.

The practice is led by Dr Goldberg and Dr Halstead and the staff team includes an additional three salaried GPs, two practice nurses (one of whom is an advanced nurse practitioner), a health care assistant, management team and administrative/reception team.

Sefton Road Surgery is registered with the Care Quality Commission to provide primary care services. The practice provides GP services to approximately 5,320 patients living in the Litherland and Bootle areas of Liverpool.

The provider also operates a practice at Concept House Surgery, 17 Merton Road, Bootle, Liverpool L20 3BG. Patients can attend either surgery. Both sites share a staff team and have the same patient list. The main site is the Concept House Surgery and we visited both sites as part of this inspection. Because both practices are currently registered as separate locations with CQC each practice has been reported on in it’s own right.

Sefton Road Surgery is open Mondays, Tuesdays, Thursdays and Fridays 8am to 6pm and Wednesdays 8am to 1pm. Patients can book appointments in person, via the telephone or online.

The practice provides telephone consultations, pre-bookable consultations, on the day appointments, urgent consultations and home visits. The practice treats patients of all ages and provides a range of primary medical services.

Sefton Road Surgery holds a Personal Medical Services (PMS) contract with NHS England. The practice is part of South Sefton Clinical Commissioning Group (CCG).

Outside of practice opening hours patients can access the out of hours GP provider ‘Urgent Care 24’ for primary medical services by calling the NHS 111 service.

Updated 30 April 2018

This practice is rated as Good overall. (Previous inspection 11 July 2017 – Requires improvement).

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

At our previous inspection on 11 July 2017 we rated the service as ‘requires improvement’ for two of the five key questions we inspect against. The service required improvement for providing safe and well-led services. The service was therefore rated as ‘requires improvement’ overall. The full comprehensive report on the July 2017 inspection can be found by selecting the ‘all reports’ link for Sefton Road Surgery on our website at www.cqc.org.uk.

We carried out this announced comprehensive inspection at Sefton Road Surgery on 27 March 2018 to check that the provider had made improvements to the service. We found that action had been taken to improve the service and address previous shortfalls.

Our findings were:

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.

• Significant events had been investigated and action had been taken as a result of the learning from events.

• Systems were in place to deal with medical emergencies and staff were trained in basic life support.

• There were systems in place to reduce risks to patient safety. For example, infection control practices were carried out appropriately and there were regular checks on the environment and on equipment used.

• Clinicians assessed patients’ needs and delivered care in line with current evidence based guidance. The provider routinely reviewed the effectiveness and appropriateness of the care provided.

• Feedback from patients about the care and treatment they received from clinicians was positive.

• Patients told us they were treated with dignity and respect and they were involved in decisions about their care and treatment.

• Data showed that outcomes for patients at this practice were similar to outcomes for patients locally and nationally.

• Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.

• Patients told us they found it easy to make an appointment and there was good continuity of care.

• The practice had appropriate facilities, including disabled access. It was well equipped to treat patients and meet their needs.

• Complaints had been investigated and responded to in a timely manner.

• There was a clear leadership and staff structure and staff understood their roles and responsibilities.

• The provider had a clear vision to provide a safe, good quality service.

• Feedback from patients was used to make improvements to the service.

• There was a focus on continuous learning and improvement.

The areas where the provider should make improvements are:

• Review the arrangements for encouraging uptake of childhood immunisations in the patient population.

• Continue to encourage patient uptake of national screening programmes for the patient population.

• Ensure that accurate and appropriately detailed information about how to complain is made readily accessible to patients.

• Introduce a more effective system for monitoring cleanliness.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 April 2018

Updated 30 April 2018

Updated 30 April 2018

Updated 30 April 2018

Updated 30 April 2018

Updated 30 April 2018