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Knowsley medical practice raises it game: Inadequate to Good and taken out of special measures

16 December 2016
Dr Peter Ayegba
  • Media,
  • GP and GP out-of-hours services

The Care Quality Commission has found the quality of care provided by Dr Peter Ayegba, Knowsley to be Good following a follow-up inspection carried out in August 2016.

CQC had previously inspected Dr Ayegba in January 2016 and had found serious concerns. As a result the practice was rated as inadequate and placed into special measures.

In the report, just published, inspectors rated the practice as Good in four domains – safety, effectiveness, caring, responsiveness and Requires Improvement for well-led. Overall, the practice has been rated as Good. A full report of the inspection has been published.

Following this inspection, CQC could see that there was a more open and transparent approach to safety and an effective system in place for reporting and recording significant events. Risks to patients were now being assessed and well managed. In addition an improved recruitment process had been implemented since the last inspection and this had been followed when recruiting new staff.

CQC’s Deputy Chief Inspector of General Practice in the North, Alison Holbourn says:

“I congratulate Dr Ayegba on the excellent progress he and the practice have made. Since our last inspection it was clear that lessons were being shared to make sure action was taken to improve safety in the practice - when things went wrong patients received support and a written apology.

“Patients were receiving better care. Data from the Quality and Outcomes Framework (QOF) showed patient outcomes were at or above average compared to the national average. In addition, staff assessed needs and delivered care in line with current evidence based guidance. We could see from clinical audits that care quality had improved.

“The practice had good facilities and was well equipped to treat patients and meet their needs. It is encouraging to report that most patients said they had found improvements in how easy it was to make an appointment, with urgent appointments available the same day.

“Over the eight months since the last inspection it is evident that Dr Ayegba has made very good progress I pleased to be able to say that this service is now out of special measures. This recognises the significant improvements made to the quality of care provided at this practice and I feel sure that the practice will continue to improve.”

There were a few areas where we have asked the practice to continue to improve, including:

  • Review recent improvements and consider how the practice can ensure the sustainability of improvements made and have effective succession planning in place.
  • Update training records for all staff.


For media enquiries, David Fryer 07754 438750, or call the CQC press office on 020 7448 9401 during office hours or out of hours on 07917 232 143. For general enquiries, call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students), People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia).

Providers must display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.