The Care Quality Commission
  • Doctor
  • GP practice

The Health Centre Surgery

Overall: Good read more about inspection ratings

The Halewood Centre, Halewood, Liverpool, L26 9UH

Provided and run by:
Dr Maria Del Carmen Simo-Garcia

All Inspections

6 July 2023

During a monthly review of our data

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

25 August 2020

During an inspection looking at part of the service

We carried out an announced comprehensive inspection at The Health Centre Surgery on 17 July 2019 as part of our inspection programme. The overall rating for the practice was good, however the practice was rated as requires improvement for providing safe services. The full comprehensive report on the July 2019 inspection can be found by selecting the all report's link for The Health Centre Surgery on our website.

This inspection was carried out as a desk based focused inspection on 25 August 2020 to confirm that the practice had carried out their plans to meet the legal requirements in relation to the breach in regulations that we identified at in our previous inspection on the 17 July 2019.

Overall the practice is now rated as Good.

Our key findings were as follows:

  • The practice had revised their recruitment policy for non-medical and medical staff and locum staff to ensure all the required checks were completed for new recruits.
  • The practice had reviewed the information available for staff already employed and updated information such as risk-assessments and Disclosure and Barring Service (DBS) checks.
  • The practice had developed a spreadsheet to assist with monitoring training and re-registration needs.

The provider had also acted on the recommendations made at the last inspection. This included:

  • Written policies and procedures for monitoring the care of patients with long care conditions had been put in place. The practice monitored these areas more closely and submitted unverified evidence indicating improvements in outcomes since the July 2019.
  • The practice had put in place processes to identify vulnerable children and adults registered at the practice. Registers had been introduced to highlight and monitor vulnerable patients. Alert flags had been added to patient records. This meant staff were aware when vulnerable adults and children visited or contacted the practice or information about them was received. In respect of vulnerable children alerts had also been added to relevant family members and members of the immediate household.
  • The practice had strengthened processes for tracking urgent referrals and information indicated the action taken ensured patients were seen within the expected timescale.
  • The practice had introduced formal role-specific induction, supervision, mentoring and training programs for medical, clinical and administration staff.
  • The practice had provided on-line training in the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLs).
  • The practice had updated their website to include information for carers and patients.

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

17/07/2019

During a routine inspection

We carried out an announced comprehensive inspection at The Health Centre Surgery on 17 July 2019 as part of our inspection programme.

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 rated the practice as requires improvement for providing safe services because:

The recruitment processes did not ensure that appropriate checks were undertaken prior to the employment of staff.

We rated the practice as good for providing caring, effective, 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. Patients could access care and treatment in a timely way.

  • There was good communication between staff, staff felt well supported, there was a commitment to improving the service and the practice responded to feedback from patients and other stakeholders.

We rated the population groups as good.

The areas where the provider must make improvements are:

  • Systems and processes must be in place to ensure specified information is available regarding each person employed.

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

The areas where the provider should make improvements are:

  • Ensure that they continue to monitor patients with long-term conditions, cancer and poor mental health to ensure that improvements are demonstrated in the number of patients receiving reviews of care.

  • Review the system for ensuring alerts are placed on the records of vulnerable adults and family members of children where risks to their welfare have been identified.

  • Document

  • Monitor the system to ensure vulnerable patients have attended their appointments when a two-week rule referral has been made.

  • Formalise the system for reviewing the practise of clinical staff to ensure consultations, referrals and prescribing are appropriate.

  • Provide formal training to all staff in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).

  • Publicise services for carers on the practice’s website.

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

Dr Rosie Benneyworth BS BM BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care