Archived: King Street Medical Centre

Updated 13 August 2018

King Street Medical Centre is located in a detached property in King Street, Accrington. The practice website is w ww.kingstreetaccrington.nhs.uk

The practice delivers primary medical services to a patient population of approximately 2,000 patients under a General Medical Services (GMS) contract with NHS England. It is part of the NHS East Lancashire Clinical Commissioning Group (CCG).

The practice delivers the following regulated activities: -

• Diagnostic and screening procedures
• Maternity and midwifery services
• Treatment of disease, disorder or injury

The practice’s patient population has a slightly higher proportion of older people than the local

averages, for example 15% are over the age of 65 (CCG average being 13.5% and national average 17%), 23% are under the age of 18 (CCG average 25%, national average 21%) Information published by Public Health England rates the level of deprivation within the practice population group as one on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The practice population is 30% of Pakistani origin and 6% Polish.

The practice was reregistered by the current provider in September 2017 and the management team changed in January 2018. The practice is staffed by one male GP. Other clinical staff consist of one part- time female practice nurse, and one part- time health care assistant. Clinical staff are supported by a business manager, a management support and a team of reception and administration staff.

The practice is open between 8am and 7.30pm on Monday, 8am to 6.30pm Tuesday to Friday. Extended hours appointments are available on Monday 6.30 to 7.30pm. Outside normal surgery hours, patients are advised to contact the out of hour’s service by dialling 111, offered locally by the provider East Lancashire Medical Services.

Updated 13 August 2018

This practice is rated as Good overall. (This is the first inspection of the service under this provider.)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at King Street Medical Centre on 6 June 2018 as part of our inspection programme. The current provider registered this practice in September 2017. Previous staff including the practice manager were retained until January 2018 when the current team took full managerial responsibility.

At this inspection we found:

• The practice had put in place clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines. Particular emphasis was placed on improving patient engagement for recall of long term conditions, baby immunisations and cervical smears.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they could access care when they needed it.
• The management team led a work plan which placed a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Clinical staff should continue to develop two cycle audits or other quality improvement work in order to demonstrate improvements in patient care and outcomes.
• Staff should take action to establish regular staff meetings which encourage learning and improvement after serious incidents.
• Multidisciplinary meetings should be established at the practice to demonstrate clear care coordination of patients with complex needs.
• All substances hazardous to health had been identified, however a risk assessment should be carried out.
• Practice staff should consider fitting a hearing loop to support patients with a hearing impairment.
• Seek assurance from the landlords in respect of the electrical safety certificate.
• Practice staff should introduce a patient survey to monitor patient views about the service.
• Consideration should be given to increasing the practice nurse hours available.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 13 August 2018

Updated 13 August 2018

Updated 13 August 2018

Updated 13 August 2018

Updated 13 August 2018

Updated 13 August 2018