The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Alistair (Medical Services) Limited

Overall: Good read more about inspection ratings

Kid Glove House, Kid Glove Road, Golborne, Greater Manchester, WA3 3GS (01942) 481580

Provided and run by:
Dr Alistair (Medical Services) Limited

Important: The provider of this service changed. See new profile

All Inspections

20 September 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Alistair (Medical Services) Limited on 3 August 2016. The overall rating for the practice was good however there were improvements required in the key question safe. The full comprehensive report on the 3 August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Alistair (Medical Services) on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 20 September 2017 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspections. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings at this inspection were as follows:

  • We spoke with staff and reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe Care and Treatment.
  • The practice had ensured that a Disclosure and Barring Service (DBS) check or risk assessment was in place for staff who carried out the role of a chaperone.
  • Staff had received training in infection prevention and control (IPC), and there was a member of staff with a specific IPC responsibility.
  • All staff had received training in safeguarding vulnerable adults.
  • The practice reviewed the management system of blank prescription forms and introduced a system to manage their issue and distribution across the practice.
  • There was improved availability of routine appointments.
  • Practice procedures and guidance were reviewed and updated.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

3 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Alistair (Medical Services) Limited on 3 August 2016. Overall the practice is rated as good.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
  • Risks to patients were assessed and managed, with the exception of those relating to recruitment checks and infection control.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Some patients said they found it difficult to make a routine appointment with a named GP however there were urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice had a number of policies and procedures to govern activity, but some were overdue a review.
  • There was a leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

  • The practice had staff who were designated as “champions” in the practice that included for older people, learning disabilities, carers, cancer and military veterans.

However there were areas of practice where the provider needs to make improvements:

Importantly the provider must:

  • Ensure that a Disclosure and Barring Service (DBS) check or risk assessment is in place for staff who carry out the role of a chaperone.
  • Ensure staff receive training in infection prevention and control (IPC), and in the long term absence of staff with a specific IPC responsibility ensure another member of staff covers this role.
  • Ensure all staff receive training in safeguarding vulnerable adults.

Importantly the provider should:

  • Review the management system of blank prescription forms including the introduction of a system to manage their issue and distribution across the practice.
  • Improve the availability of routine appointments.
  • Review and update practice procedures and guidance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

12 September 2013

During a routine inspection

We spoke with five patients on the day of our visit. They spoke positively about the practice and they told us they were happy with the care they received. We heard comments such as 'They are really good with me'; 'The staff are all really nice and helpful' and "This is a good practice.'. The only negative comments we received were regarding the appointment system in place. The deputy practice manager told us that this was going to change from the beginning of October 2013.

We found staff had access to contact details for both safeguarding children and vulnerable adults. There were suitable safeguarding arrangements in place should an incident occur.

Staff told us that they were well supported and that they had enough training for their roles. We saw training was available in keys areas such as basic life support and safeguarding children and vulnerable adults.

We found that there were appropriate systems in place to monitor the quality of care delivered at the practice and there were regular clinical supervision meetings where clinical issues and significant events were discussed. There were systems in place to ensure that records were accurate and that patients personal information was respected.