Background to this inspection
Updated
22 December 2023
Moore Street Medical Centre is located in Liverpool, Merseyside.
The address of the practice is:
77 Moore Street
Bootle
Liverpool
Merseyside
L20 4SE
The provider is registered with CQC to deliver the Regulated Activities;
- Diagnostic and screening procedures
- Family planning
- Maternity and midwifery services
- Surgical procedures
- Treatment of disease, disorder or injury
The practice is situated within South Sefton and falls under the Cheshire and Merseyside Integrated Care System (ICS) and provides services to approximately 6,300 patients under the terms of a General Medical Services (GMS) contract. This is a contract between general practices and NHS England.
The practice is part of a wider network of GP practices across South Sefton primary care network (PCN).
Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the lowest decile (1 of 10). The lower the decile, the more deprived the practice population is relative to others.
According to the latest available data, the ethnic make-up of the practice area is 97.2% White, 1.1% Mixed, 0.9% Asian, 0.3% Black and 0.5% Other.
The service is run by a partnership of 2 GPs and the team includes a salaried GP, an advanced nurse practitioner (ANP), 2 practice nurses and 2 healthcare assistants. The GPs are supported at the practice by a practice manager and team of reception/administration staff.
The practice is open between 8am to 6.30pm Monday to Friday. The practice offers a range of appointment types including book on the day, some book in advance appointments and telephone consultations.
Extended access is provided locally by a federation of GPs and by Primary Care 24 Limited where late evening and weekend appointments are available. Patients can access the Out of hours service by calling 111.
Updated
22 December 2023
We carried out an announced assessment of Moore Street Medical Centre on 16 November 2023. The assessment focused on the responsive key question.
Following our previous inspection on 21 March 2019 the practice was rated good overall and for all key questions. The full reports for previous inspections can be found by selecting the ‘all reports’ link for Moore Street Medical Centre on our website at www.cqc.org.uk.
The practice continues to be rated as good overall as this was the rating given at the last comprehensive inspection. However, we have now rated the responsive key question as requires improvement as a result of the findings of this focused assessment.
Safe - Good
Effective - Good
Caring - Good
Responsive – Requires improvement
Well-led - Good
Why we carried out this review
We carried out this assessment as part of our work to understand how practices are working to try to meet demand for access and to better understand the experiences of people who use services and providers.
We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.
How we carried out the review
This assessment was carried out remotely. It did not include a site visit.
The process included:
- Conducting an interview with the provider and members of staff using video conferencing.
- Reviewing patient feedback from a range of sources
- Requesting evidence from the provider.
- Reviewing data we hold about the service
- Seeking information/feedback from relevant stakeholders
Our findings
We based our judgement of the responsive key question on a combination of:
- what we found when we met with the provider
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We found that:
- The provider organised and delivered services to meet patients’ needs. They worked proactively and alongside other agencies to meet the needs of the patients and improve their experiences of care and treatment.
- During the assessment process, the provider highlighted the efforts they are making and planning to make to improve access to the service for their patient population. The effect of these efforts are not yet reflected in patient feedback.
- Patients were not satisfied with the arrangements for getting through to the practice by phone and their experience of obtaining an appointment.
- Complaints were listened to, managed appropriately and used to improve the quality of care.
Whilst we found no breaches of regulations, the provider should:
- Produce a detailed plan as to how they intend to respond to patient concerns/feedback about access and their experience of making an appointment with an aim to improve patient experience.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care