The Care Quality Commission
  • Doctor
  • GP practice

Langbank Medical Centre

Overall: Good read more about inspection ratings

Broad Lane, Norris Green, Liverpool, Merseyside, L11 1AD (0151) 226 1976

Provided and run by:
Langbank Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Langbank Medical Centre 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 Langbank Medical Centre, you can give feedback on this service.

15 September2021

During an inspection looking at part of the service

We carried out an announced inspection at Langbank Medical Centre on 14 and 15 September 2021. Overall, the practice is rated as Good.

Safe – Good

Effective Good

Caring – Good

Responsive – Good

Well-led - Good

Following our previous inspection 3 December 2019, the practice was rated Requires Improvement overall and for key questions safe and effective, but good for caring, responsive and well led. ew

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Langbank medical centre on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a focused inspection to follow up on the key questions for safe, effective, well-led and the regulatory breaches identified at the last inspection: Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment, Regulation 15 HSCA (RA) Regulations 2014 Premises and equipment, Regulation 17 HSCA (RA) Regulations 2014 Good governance, Regulation 18 HSCA (RA) Regulations 2014 Staffing.

We also reviewed the areas where the previous inspection identified that the provider should make an improvement by:

  • All information pertaining to significant events should be retained in one place for ease of reference.
  • The health and safety risk assessment should be more comprehensive and identify all risks and actions to be taken.
  • Formalise the system for reviewing the practise of clinical staff to ensure consultations, referrals and prescribing are appropriate.
  • Review uncollected prescriptions more frequently and record the sequential numbers on written prescriptions to enable an audit trail.
  • A full record of safety alerts received, and action taken to be maintained.
  • Formalise the care plans for patients.
  • The practice should improve cancer screening uptake.
  • The practice website to be updated with information about support groups and services and more information about the role and remit of the advanced nurse practitioners to be made available for patients.
  • The processes to keep clinicians up to date and share learning should be reviewed.

How we carried out the inspection.

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • Staff questionnaires
  • A short site visit

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall and good for all population groups except working age people as requires improvement.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Complete a security risk assessment of the premises.
  • Improve the uptake of childhood immunisations and cervical cancer screening.
  • Review staff training requirements for each staff role.
  • Review recruitment files to include information required.
  • Review uncollected prescriptions process.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

03/12/2019

During an inspection looking at part of the service

We carried out an announced focused inspection at Langbank Medical Centre on 3 December 2019. We carried out an inspection of this service due to the length of time since the last inspection and due to changes in leadership at the practice.

Following our Annual Regulatory Review of the information available to us, including information provided by the practice, we planned to focus our inspection on the following key questions: Effective, Caring and Well-led. During the inspection we included the Safe and Responsive key questions as a result of our findings on the day.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as requires improvement overall.

We rated the practice as requires improvement for population groups in the Effective key question and good for population groups in the Responsive key question.

We rated the practice as requires improvement for providing Safe services because:

  • The fire risk assessment had not been fully addressed and was not fully adapted to the current fire detection and warning system.
  • The system for managing patient blood results in a timely manner was not comprehensive.

We rated the practice as requires improvement for providing Effective services because:

  • The system for ensuring staff training was not comprehensive.
  • The practice did not carry out effective quality improvement activity to review the effectiveness and appropriateness of the care provided.

We rated the practice as Good for providing Caring, Responsive and Well-led services because:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Access to services was monitored and changes made as a result of listening to patients and staff feedback.
  • Staff felt well supported. The practice sought the views of patients and staff and acted on them.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.
  • Ensure all premises and equipment used by the service provider are fit for use.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate training to enable them to carry out their duties.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements:

  • All information pertaining to significant events should be retained in one place for ease of reference.
  • The health and safety risk assessment should be more comprehensive and identify all risks and actions to be taken.
  • Formalise the system for reviewing the practise of clinical staff to ensure consultations, referrals and prescribing are appropriate.
  • Review uncollected prescriptions more frequently and record the sequential numbers on written prescriptions to enable an audit trail.
  • A full record of safety alerts received, and action taken to be maintained.
  • Formalise the care plans for patients.
  • The practice should improve cancer screening uptake.
  • The practice website to be updated with information about support groups and services and more information about the role and remit of the advanced nurse practitioners to be made available for patients.
  • The processes to keep clinicians up to date and share learning should be reviewed,

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

3 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at this practice on 30 April 2015.

A breach of legal requirements was found. The practice was required to make improvements in the domain of ‘Safe’.

After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Safeguarding service users from abuse.

We undertook this focused follow-up review to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Langbank Medical Centre on our website at www.cqc.org.uk.

Our key findings were as follows:

  • The practice had addressed the issues identified during the previous inspection.

  • Improved systems were in place to ensure that any requests for child safeguarding reports were being met. Weekly and quarterly checks were also in place to ensure that the practice safeguarding register was up to date. All children subject to a safeguarding plan, or who were classified as a looked after child or a child in need, were correctly highlighted on the practice computer system.

    The practice had also responded positively to suggested improvements in relation to the recording, reporting and investigation of significant events. We saw that all significant events were discussed and analysed at meetings held for all people involved in the event. Review dates were set to allow those involved time to reflect on how an event came about and on how they may do things differently in the future.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

30 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Langbank Medical Centre on 30 April 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services to older patients, patients with long term conditions, working age patients and those patients whose circumstances made them vulnerable. The practice required improvement for providing safe services. This had some impact on services provided to families, children and younger people, and those patients experiencing poor mental health.

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

  • The practice used data and audits to check and gauge the effectiveness of treatments provided to patients.
  • The practice was responsive to patients’ needs; we found the practice listened to patient feedback and acted quickly to ensure their needs were met.
  • The practice leaders promoted openness and transparency amongst staff and supported all staff appropriately
  • Patients we spoke with told us they received a very caring service from the clinicians and staff at the practice. CQC comment cards completed by patients mirrored this.
  • Administration processes in relation to safeguarding matters were incomplete. Patients who were subject to a safeguarding plan were not correctly identified and requests for reports from local authority safeguarding boards were not always met.
  • The review of significant events was insufficient to provide learning for clinicians and staff involved.

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

  • Improve processes in place for safeguarding of vulnerable children and adults. Sufficient checks must be in place for the receiving and correct recording of safeguarding information and for the sending of information to local authority safeguarding boards.

Action the provider should take to improve:

  • Ensure review of significant events includes asking of key questions and has sufficient input from staff to identify areas for improvement and to promote learning.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice