The Care Quality Commission
  • Doctor
  • GP practice

Drs Misra and Bird Surgery

Overall: Good read more about inspection ratings

133 Liverpool Road, Crosby, Liverpool, Merseyside, L23 5TE (0151) 931 9197

Provided and run by:
Drs Misra and Bird

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Drs Misra and Bird Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Drs Misra and Bird Surgery, you can give feedback on this service.

20 June 2019

During an annual regulatory review

We reviewed the information available to us about Drs Misra and Bird Surgery on 20 June 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

7 March 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Drs Misra and Bird Surgery on 13 and 14 October 2016. The overall rating for the practice was good but required improvement in providing safe services. The full comprehensive report on the 13 and 14 October 2016 inspection can be found by selecting the ‘all reports’ link for Drs Misra and Bird Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 March 2017 at 41Moss Lane, Bootle Merseyside L20 0EA to confirm that 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 inspection on 13 and 14 October 2016. 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 and now good for providing safe services.

Our key findings were as follows:

  • The practice had addressed the issues identified during the previous inspection.
  • There were improvements in compliance with fire safety and health and safety.
  • Disclosure and barring (DBS) checks were carried out for all staff.
  • Documents containing confidential information were appropriately stored and disposed of.

In addition, the practice had made the following improvements:

  • The infection control policy had been updated. The practice had completed where practical, actions identified in the external infection control audit from July 2016.
  • Safeguarding meetings were documented.
  • Hard copies of the business contingency were available.
  • The practice policy and patient information leaflet had been updated and included the correct details of who the patient should complain to if they were dissatisfied with the practice’s response to their complaint.
  • There were systems to treat verbal complaints in the same way as written complaints.
  • There was a register of patients who had Deprivation of Liberty Safeguards (DoLS) in place.
  • The practice had first aid kits and accident recording books.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

13 and 14 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs Misra and Bird Surgery at 133 Liverpool Road Crosby Liverpool Merseyside L23 5TE on 13 October 2016 and at their branch surgery located at 41-43 Moss Lane Bootle Liverpool Merseyside L20 0EA on 14 October 2016. This report covers our findings from both premises.

Overall the practice is rated as good but requires improvement in providing safe services.

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

  • The practices are situated in converted residential buildings and the provider was aware of the limitations of the premises. Although clinical areas were reasonably acceptable, work could be done to improve the premises in terms of furnishing and decluttering of the premises to make the environment safer.
  • The practice had disabled access, translation services and a hearing loop.
  • There were some systems in place to mitigate safety risks including analysing significant events and safeguarding. However, there was a lack of adherence to basic health and fire safety legislation. For example, there was no gas or fixed electrical wiring safety certificates for either building. There was no fire alarm or emergency lighting at the Liverpool Road practice. There was a lack of risk assessments for both premises.
  • Non-clinical staff who acted as chaperones had not received appropriate training or recruitment checks for this role.
  • There were unsuitable arrangements for the storage of old documents containing patient information such as hospital letters.
  • The practice was aware of and had systems in place to ensure compliance with the requirements of the duty of candour. (The duty of candour is a set of specific legal requirements that providers of services must follow when things go wrong with care and treatment).
  • Patients’ needs were assessed and care was planned and delivered in line with current legislation.
  • 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. The practice sought patient views about improvements that could be made to the service; including having a patient participation group (PPG) and acted, where possible, on feedback.
  • Staff worked well together as a team and all felt supported to carry out their roles.

The provider must:

  • Ensure disclosure and barring (DBS) checks are carried out for all staff acting as chaperones and that they receive appropriate training.
  • Comply with all health and fire safety legislation and have the following:-
  • gas safety certificate,
  • fixed electrical wiring certificate,
  • emergency lighting, fire alarm and first aid kit and appropriate accident reporting books at the Liverpool Road Site,
  • control of substances to health risk assessments (COSHH),
  • display screen risk assessments for staff.
  • Disabled access risk assessments
  • Securely remove excess boxes of documents containing patient information and ensure any document to be shredded is securely stored.

The provider should:-

  • Update the contents of the patient information leaflet on how to make a complaint so that it reflects the information in the practice policy and national guidance.
  • Treat verbal complaints in the same way as written complaints i.e.  to keep records of any verbal complaints and any actions taken as a result; and implement a monitoring system to identify any trends to prevent reoccurrence.
  • Have a register of patients who have Deprivation of Liberty Safeguards (DoLS) in place.
  • Act on any findings from the recent Legionella risk assessment report.
  • Update the infection control policy, ensuring all staff know who the lead is and increase the monitoring and auditing for infection control and complete their action plan following the external infection control audit in July 2016.
  • Have formal safeguarding meetings with documented minutes.
  • Keep hard copies of the business disaster recovery plan both on and off the premises for staff to refer to.
  • Display a map of the buildings at the entrance clearly showing where oxygen is stored and have the appropriate safety signage for oxygen.
  • Have curtains/screens available for the treatment room used by the visiting midwife at the branch surgery.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

22 January 2014

During a routine inspection

We spoke with five patients during our inspection. They told us they were very satisfied with the service provided. Comments included, 'The reception staff are very pleasant and take every opportunity to help you,' and 'I have no concerns about getting an appointment.'

Patients we spoke with confirmed they had sufficient time during the consultation and that treatment was explained to them. Comments included,'The nurse and health care assistant really put you at your ease. You don't feel rushed,' and 'The service is excellent. The GP takes time to explain things. All the staff are extremely caring and approachable.'

We saw records confirming fridges storing vaccinations were checked each day to ensure they were at the required temperature. Records were kept of the expiry dates of the vaccines stored in order.

The Practice Manager confirmed the practice only carried out Disclosure and Barring service (DBS) checks for clinical staff. These checks provide employers with an individual's full criminal record and other information to assess the individual's suitability for the post. Following discussion the Practice Manager confirmed a risk assessment would be completed on all administration roles to support their decision not to carry out DBS checks.

The practice carried out audits and checks to monitor the quality of services provided. Staff we spoke with described recent audits completed including availability of appointments and medicines management.