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Inspection Summary


Overall summary & rating

Good

Updated 28 August 2019

This practice is rated as Good overall. (Previous rating 30 October 2018 – Good)

The safe key question at this inspection is rated as: Good.

We carried out this announced focused inspection at Maghull Practice on 16 July 2019 to follow up breaches of regulation from our last inspection carried out on 30 October 2018.

The full comprehensive report on the October 2018 inspection can be found by selecting the ‘all reports’ link for Maghull Practice on our website at .

At the previous inspection of 30 October 2018 we rated the practice as ‘good’ overall but as ‘requires improvement’ in the safe key question. We identified a breach of Regulation 13 HSCA (RA) Regulations 2014. This was because systems in place for safeguarding patients were not sufficiently robust as there was no designated safeguarding lead, not all staff had been provided with up to date training in safeguarding and safeguarding registers had not been reviewed on a regular basis. We also identified a breach of Regulation 12 HSCA (RA) Regulations 2014. This was because an up to date fire risk assessment was not available at the practice and fire drills were not being carried out at regular intervals.

This inspection was a follow up inspection to confirm that the provider had carried out their plan to meet the legal requirements. Our key findings were as follows:

  • The provider had taken action to meet the breach of regulation.
  • The systems and processes in place to safeguard patients from the risk of abuse had been improved.
  • Fire safety procedures had been formalised.

We also looked at action taken in response to the recommendations we had made to the provider following the last inspection visit. We found:

  • The governance systems had been reviewed and further developed to ensure these were effective in monitoring the quality of the service provided and drive improvement.
  • New procedures had been put in place for monitoring patients prescribed high risk medicines.
  • Workforce requirements had been reviewed and the provider was actively trying to recruit salaried GPs.
  • All required checks were in place for locum GPs and these were centrally managed.
  • Health promotion information and advice for patients about how they can access support groups and voluntary organisations.
  • Staff had been provided with ready access to all policies and procedures through the provider’s intranet system.

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

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Requires improvement

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good