Dunstan Village Group Practice - Care Quality Commission

Background to this inspection

Updated 18 October 2017

Dunstan Village Group Practice is based in a deprived area of Liverpool. There were 6247 patients on the practice register at the time of our inspection. More than half the patient population were from a large diverse variety of ethnic groups and a high number of patients could not speak English.

The practice is a training practice managed by an individual GP and there are three salaried GPs. The practice occasionally uses locums. There are two practice nurses and a nurse practitioner. Members of clinical staff are supported by two practice managers, a deputy manager, reception and administration staff.

The practice is open 8am to 6.30pm every weekday.

Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service by calling 111.

The practice has a General Medical Services (GMS) contract and has enhanced services contracts which include childhood vaccinations. The practice is part of Liverpool local clinical commissioning group.

Overall inspection

Good

Updated 18 October 2017

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection at Dunstan Village Group Practice on 20 April 2017. Overall the practice was rated as requires improvement. The practice was rated as requiring improvement for providing safe and well led services; and good for providing effective, responsive and caring services. The full comprehensive report on the 20 April 2017 inspection can be found by selecting the ‘all reports’ link for Dunstan Village Group Practice on our website at www.cqc.org.uk.

This inspection was an announced follow up inspection carried out on 6 October 2017 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 20 April 2017. This report includes our findings in relation to those requirements.

Overall the practice is now rated as good and good for providing safe and well led services.

The practice had made improvements and addressed the issues identified in the previous inspection. Improvements included:

A review of the governance systems in place to ensure the quality and safety of the service. For example, there were improvements in the monitoring systems for training, recruitment, cleaning of the premises and managing uncollected prescriptions and significant events.
The practice had implemented a new system for managing and responding to safety alerts. The practice had reviewed previous medication alerts.
All staff had received appropriate recruitment checks and records were kept.
The practice had correctly registered with us to carry out the regulated activity of minor surgery.

In addition:-

The practice had actively sought ways to identify carers in order for them to offer appropriate support. There was a designated area of the waiting room for carers’ information.
Information about how to make a complaint was displayed in the waiting room and information for patients had been updated.
All staff had received training in safeguarding and the Mental Capacity Act relevant to their role.
The practice had implemented a system to record the stock and use of blank prescription forms used for home visits.
The locum induction pack had been updated to provide locum GPs with the necessary information in order for them to carry out their role.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice