Cliff House Medical Practice

Updated 10 January 2022

Cliff House Medical Practice is located in the City of Lincoln at:

82 Burton Road

Lincoln

LN1 3LJ

The practice has a branch surgery at:

24 Gresham Street

Lincoln

LN1 1QA

The provider is a partnership and is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services and treatment of disease, disorder or injury and surgical procedures. These are delivered from both sites. We did not visit the branch as part of this inspection.

The practice offers services from both a main practice and a branch surgery. Patients can access services at either surgery.

The practice is situated within the NHS Lincolnshire Clinical Commissioning Group (CCG) and delivers Alternative Provider Medical Services (APMS) to a patient population of about 6,360. This is part of a contract held with NHS England.

The practice is part of a wider network of GP practices known as a Primary Care Network.

Information published by Public Health England shows that deprivation within the practice population group is in the fifth decile (five 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, 95.9% White, 1.7% Asian and 2% black and other race.

The age distribution of the practice shows that there are more working age and less older people than the CCG average

The team of GPs provide cover at both practices. There is a GP partner, a salaried GP and sessional (locum) GPs. The practice has a team of nurses who provide nurse led clinic’s for long-term condition of use of both the main and the branch locations. The GPs are supported at the practice by a team of pharmacists, reception and administration staff.

Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance, many GP appointments were telephone consultations. If the GP needs to see a patient face-to-face then the patient is offered a choice of either the main GP location or the branch surgery.

Extended access is provided locally by the Primary Care Network where late evening and weekend appointments are available. Out of hours services are provided by Lincolnshire Community Health Services NHS Trust.

Updated 10 January 2022

We carried out an announced inspection of Cliff House Medical Practice on 20 and 21 October 2021. Overall, the practice is rated as Good

Set out the ratings for each key question

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Why we carried out this inspection

This inspection was a comprehensive inspection. The location had not been previously inspected.

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
• 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

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.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• 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.
• Staff told us it was good place to work.

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

• Improve the immunisation rates for children.
• Improve the uptake of cervical cancer and other screening procedures.

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