The Care Quality Commission
  • Doctor
  • GP practice

Marisco Medical Practice

Overall: Good read more about inspection ratings

Stanley Avenue, Mablethorpe, Lincolnshire, LN12 1DP

Provided and run by:
Marisco Medical Practice

All Inspections

6 July 2023

During a monthly review of our data

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

10 August 2022

During an inspection looking at part of the service

We carried out an announced inspection) at Marisco Medical Practice on 10 August 2022 Overall, the practice is rated as Good.

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Following our previous inspection on 24 November 2021 the practice was rated Requires Improvement overall and specifically Requires Improvement for providing effective, responsive and well-led services. It was rated as Good for providing safe and caring services.

At that inspection we found that:

  • The process for dealing with complaints and significant events needed improvement
  • There was dissatisfaction with access to the practice by telephone and the telephony system was not operating as it should.
  • Some patients with long term conditions had not received the required monitoring.
  • Childhood immunisations and cervical cancer screening uptake was low.
  • There was no effective system to manage the risk emanating from sub-optimal monitoring of patients.

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

Why we carried out this inspection

This inspection was a comprehensive inspection to follow up on:

  • The findings from our previous inspection.

How we carried out the inspection.

Throughout the pandemic CQC has continued to regulate and respond to risk. However, considering 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 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-centred care.

However, the practice should:

  • Continue to address the low uptake of cervical cancer screening.

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 Hospitals and Interim Chief Inspector of Primary Medical Services

24 November 2021

During a routine inspection

We carried out an announced inspection of Marisco Medical Practice on 23 and 24 November 2021. Overall, the practice is rated as Requires improvement.

Safe - Good

Effective – Requires improvement

Caring - Good

Responsive – Requires improvement

Well-led – Requires improvement

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 Requires improvement overall

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients did not always receive 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.

We found an area of outstanding practice:

  • There was a very active patient participation group whose members gave their time every day , attending the practice between 9am and 12 noon to assist patients, carers and the practice in meeting patient need. This included distributing health care leaflets, signposting to support groups and providing a hearing aid servicing and battery replacement service. They provided for light refreshments at nominal cost, and made themselves available for interaction and a chat for people living in isolation and loneliness.

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

  • Continue to regularly review historic patient safety alerts to check that guidance is complied with.
  • Continue to run regular searches to identify and take action concerning patients with a potential missed diagnosis and those with long term conditions that may be overdue for monitoring.
  • Continue their work to improve uptake of childhood immunisations and cervical screening.
  • Continue their work to improve patient satisfaction in the areas identified in the GP Patient Survey.
  • Improve the complaints and significant events investigation process.
  • Strengthen the process for recalling patients for monitoring blood tests.

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