Background to this inspection
Updated
14 October 2021
Lakeside Medical Centre is located in Wolverhampton at Church Road, Perton, Wolverhampton, West Midlands WV6 7PD.
The provider is registered with CQC to deliver the Regulated Activities; Diagnostic and screening procedures, Family planning, Maternity and midwifery services, Surgical procedures and Treatment of disease, disorder or injury.
Services provided at the practice include the following clinics; long-term condition management including asthma, diabetes, minor surgery, hypertension (high blood pressure) and immunisation.
Lakeside Medical Centre is a member of the NHS South East Staffordshire and Seisdon Peninsular Clinical Commissioning Group (CCG). The practice provides services to patients of all ages based on a General Medical Services (GMS) contract with NHS England for delivering primary care services to a patient population of about 5,811.
The practice is part of the Seisdon PCN Primary Care Network, a wider network of GP practices.
Information published by Public Health England shows that deprivation within the practice population group is in the tenth highest decile. The higher on the scale, the less deprived the practice population is relative to others.
According to the latest available data, the ethnic make-up of the practice area is, 91.7% White, 4.3% Asian and the remaining 4% of Black, Mixed and Other ethnicity.
The team of clinical staff at Lakeside Medical Centre is made up of two salaried GPs (two female). The GPs work a total of 16 sessions between them per week. Other clinical staff include a practice nurse, a clinical pharmacist and a health care assistant. The practice nurse and health care assistant work part time. The clinical staff are supported by a practice manager, and a team of reception/administration staff.
Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance, most GP appointments were telephone consultations.
Extended access is not provided by the practice. Out of hours services are provided through the NHS 111 service which operates from 6.30pm until 8am Monday – Friday and all day weekends and bank holidays. Patients are instructed through a telephone voice message to ring 111 for an appointment.
Additional information about the practice is available on their website:
www.lakesidemedicalcentre.co.uk
Updated
14 October 2021
We carried out a desk based announced inspection review at Lakeside Medical Practice on 23 July 2021. Overall, the practice is rated as good.
Ratings for each key question:
Safe – Good
Effective – Good (rating carried forward from February 2019 inspection)
Caring – Good (rating carried forward from February 2019 inspection)
Responsive – Good (rating carried forward from February 2019 inspection)
Well Led – Good (rating carried forward from February 2019 inspection)
Lakeside Medical Centre was previously inspected in April 2016 and was rated good overall. A comprehensive inspection carried out in February 2019 as part of our inspection programme rated the practice as good overall and for all population groups but requires improvement for providing safe services.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Lakeside Medical Centre on our website at www.cqc.org.uk
Why we carried out this review
This inspection was a focused review of information to follow up on:
- The key question of Safe, which was rated as requires improvement at the last inspection in February 2019.
- Areas followed up at this inspection included breaches of regulations and ‘shoulds’ identified at the previous inspection. We identified issues related to staff recruitment, staff immunisation, emergency medicines and equipment, health and safety and the completion of relevant staff training and effective monitoring of risks.
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 reviews differently.
This inspection was carried out in a way which enabled us to not have to undertake an onsite visit. 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
- Requesting evidence from the provider
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
We found that:
- The provider had put systems in place to ensure that all staff could receive vaccinations and immunisations relevant to their role and that information related to staff immunisation status was recorded.
- Staff files contained the required information to demonstrate recruitment systems had been reviewed.
- Risk assessments had been completed for the safe storage and handling of hazardous substances used at the practice.
- Notices were displayed to identify the fire marshals easily and details were included in local procedures and training certificates were seen to show that staff had been trained for the role.
- Risk assessments had been completed to mitigate any risk of potential scalding or burning from the surface of radiators in consulting rooms, which had been identified as hot to touch.
- Ongoing reviews of emergency medicines was taking place to ensure individual GP practices within the provider primary care network held emergency medicines that were appropriate to the patient services they provided.
- The provider had replaced the emergency equipment / medicine trolley with grab bags. This change provided staff with easier access to emergency medicines and equipment.
- Procedures for the management of equipment used at the practice had been reviewed and updated to ensure the equipment was regularly calibrated and maintained. This included the action to be taken to dispose of equipment that was not working or had been condemned.
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