Archived: Lytham Road Surgery

Updated 28 April 2017

This practice is located in the Fulwood area of Preston and provides services from a purpose built and adapted single storey building. At the time of our inspection there were 11038 patients registered with the practice. It is a member of NHS Preston Clinical Commissioning Group (CCG).

The age profile of the practice is very similar to the CCG and national averages. The male life expectancy for the area is 79 years compared with the CCG averages of 78 years and the national average of 79 years. The female life expectancy for the area is 82 years compared with the CCG averages of 82 years and the national average of 83 years.

There are eight GPs (five female and three male). There is a large practice nursing team of four nurse practitioner prescribers, three practice nurses and two healthcare assistants. There is also a practice manager and office manager with a supporting reception and administration team.

The practice is a teaching practice with two accredited trainers and there were two doctors undergoing GP training at the practice at the time of the inspection.

The practice delivers commissioned services under the General Medical Services (GMS) contract. It offers direct enhanced services for meningitis provision, the childhood vaccination and immunisation scheme, extended hours access, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, minor surgery, patient participation, rotavirus and shingles immunisation and unplanned admissions.

The practice is open on a Monday from 8am to 8pm, Tuesday from 8am to 6.30pm with later appointments available once a month until 8pm, Wednesday from 8am to 9pm with some early appointments available from 7.30am subject to demand, Thursday from 8am to 6.30pm with some early appointments available from 7.30am subject to demand and Friday from 8am to 6.30pm. The practice is also open from 8.30am to 12pm on a Saturday and from 8.30am to 12pm on some Sundays subject to patient demand. Patients can book appointments online, in person or via the phone. Emergency appointments are available each day. There is an out of hours service available provided by GotoDoc.

Updated 28 April 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Lytham Road Surgery on 15 December 2016. The overall rating for the practice was good with the key question of safe rated as requires improvement. The full comprehensive report on the December 2016 inspection can be found by on our website at http://www.cqc.org.uk/location/1-565501213

This inspection was a desk-based review carried out on 30 March 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 15 December 2016. This report covers our findings in relation to those requirements.

Overall the practice is now rated as good.

Our key findings were as follows:

• At the inspection in December 2016 we found that the practice had not ensured that staff followed policies and procedures regarding the management of medicines, in particular in maintaining the cold chain and the storage of vaccines in the fridge within acceptable temperature ranges. At this desk-based review we saw evidence that the practice had addressed these issues. They had reviewed and amended practice policy and procedure, purchased additional temperature recorders and ensured that staff recorded fridge temperatures in line with practice policy and acted appropriately if temperatures fell outside acceptable ranges.
• During our previous inspection we saw that the practice had a comprehensive business continuity plan in place for major incidents such as power failure or building damage. However, the practice management team did not keep copies of this plan at home. At this review, we saw that practice policy required key practice personnel to keep a copy of the plan at home and we were told that this happened.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 28 April 2017

The provider had resolved the concerns for safety identified at our inspection on 15 December 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-565501213

Updated 28 April 2017

The provider had resolved the concerns for safety identified at our inspection on 15 December 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-565501213

Updated 28 April 2017

The provider had resolved the concerns for safety identified at our inspection on 15 December 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 28 April 2017

The provider had resolved the concerns for safety identified at our inspection on 15 December 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-565501213

Updated 28 April 2017

The provider had resolved the concerns for safety identified at our inspection on 15 December 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-565501213

Updated 28 April 2017

The provider had resolved the concerns for safety identified at our inspection on 15 December 2016 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-565501213