Dr. P F Tynan and partners - Care Quality Commission

Background to this inspection

Updated 30 July 2015

Kings Street Surgery is based in the centre of Lancaster. The practice has a second site based within the university grounds. The practice is managed by nine partners and a management team including dedicated management at both practice sites. The clinical team include the partners, two salaried GPs, three nurse practitioners and the support of a health care worker. Of the 11 GPs at the practice five are female. The management team are supported by deputies, a finance manager and a team of secretarial, administration and reception staff.

The King Street site is open Monday to Friday from 8am to 6.30pm. The university site includes extended hours on a Monday evening until 9pm and from 8am to 12pm on a Saturday morning. Treatment advice outside of this time is available from the website and from the national ‘111’ number. Access to appointments is available out of hours from Bay Urgent Care. The practice supports the North Lancashire Clinical Commissioning Group (CCG) out of hours provision outside of working hours.

The practice serves Lancaster City and surrounding areas and Lancaster University with a patient list at the time of the inspection of 20346. The patient population comprises of less than the England average of patients aged 40 years and over and greater than the England average for patient aged 45 years and under. The practice population has nearly 40% of patients in the 20-24 age range. The practice population area is within the third least deprived population group and includes patients mostly from higher socio/economic backgrounds. The area has a low ethnic minority population but this practice was higher than the local average due to international students at the university. Less than 10% of the practice population were unemployed and just over 30% had a long standing health condition.

The practice has a General Medical Services (GMS) contract, this is the contract between general practices and NHS England for delivering primary care services to local communities.

Overall inspection

Good

Updated 30 July 2015

Letter from the Chief Inspector of General Practice

This is a focused desktop review of evidence supplied by Dr. P F Tynan and partners for the one area of Staffing & Recruitment within the key question Safe.

Overall, the practice is rated as good. Following this focus desktop review of the practice, we found the practice to be good for providing safe services.

Dr. P F Tynan and partners, known locally as King St Surgery and Lancaster University Medical Practice was inspected on the 23rd October 2014. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the GP practice was rated ‘good’ overall. However, for the key question Safe, recruitment procedures were identified as ‘requires improvement’ as the practice was not meeting the legislation in place at that time, (Regulation 21 Health & Social Care Act 2008 (Regulated Activities) Regulations 2010 Requirements relating to workers).

At the inspection in October 2014, we found the practice did not have records to confirm all clinical staff had a Disclosure and Criminal Barring (DBS) check in place and information was not available to assure the practice that all clinical staff were registered appropriately to undertake their role. In addition, evidence was not available to show that the GP Safeguarding lead for the practice had received level 3 training as required.

This report is a review of the evidence supplied by the practice to demonstrate how they are now meeting the requirements of the Health & Social Care Act 2008 (HSCA2008). Following the last inspection, the GP practice supplied an action plan with timescales telling us how they would ensure they met regulation 21 of the Health & Social Care Act 2008 (Regulated Activities) Regulations 2010 (HSCA 2008).

The practice has submitted to CQC, a range of documents that demonstrate they are meeting the requirements of the Health & Social Care Act 2008 (Regulated Activities) Regulations 2010 and the new legislation that has superseded this, (Regulation 19 The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Fit and proper persons employed). Evidence supplied included records that showed all staff had had a DBS check undertaken, that checks on the registration, and revalidation status of all clinical staff had been completed and a safeguarding training matrix showed that all GPs have received level 3 safeguarding training.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice