Pall Mall Medical Pall Mall Liverpool

Updated 27 October 2022

Pall Mall Medical Pall Mall Liverpool is located at 5 St Pauls Square, Liverpool, L3 9SL. The clinic operates out of a commercial property which had been converted to provide clinical services. The clinic currently operated from the ground floor only.

Pall Mall Medical Pall Mall Liverpool provides a general practice service to fee paying patients. The service is provided by a team of part-time GPs, supported by a clinic manager, deputy clinic manager and reception staff who also work at the providers other location in Manchester. The clinic is open 8.00am to 7pm Monday to Friday, but we were told GP consultations were carried out most Tuesdays and some Fridays. The service provides a wide range of services from private GP appointments, blood tests, scans and health screening.

Website: www.pallmallmedical.co.uk.

The service is registered with CQC to undertake the following regulated activities:

• Treatment of disease, disorder or injury
• Diagnostic and screening procedures
• Surgical procedures
• Family planning

How we inspected this service

We carried out this comprehensive inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

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 included:

• Conducting staff interviews
• Reviewing feedback received by the CQC regarding the service.
• Reviewing a sample of the practice’s patient records onsite
• Requesting evidence from the provider.
• A site visit.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 27 October 2022

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Pall Mall Medical Pall Mall Liverpool as part of our inspection programme. The service had not previously been inspected.

Pall Mall Medical Pall Mall Liverpool is an independent health care facility under the management of Pall Mall Medical (Manchester) Limited. The service provides private GP services including GP consultations, health checks and blood tests.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Pall Mall Medical provides a range of non-surgical cosmetic interventions, for example aesthetic treatments which are not within CQC scope of registration. Therefore, we did not inspect or report on these services. We were told aesthetic treatments were no longer provided following the pandemic.

The medical director for the service is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Comment cards were not distributed to the provider prior to the inspection in order to minimise the risks associated with the COVID -19 pandemic.

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 found that:

We rated the practice as good for providing safe services because:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.

We rated the practice as good for providing effective services because:

• Patients received effective care and treatment that met their needs.

We rated the practice as good for providing caring services because:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care

We rated the practice as good for providing responsive services because:

• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

We rated the practice as good for providing well led services because:

• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider should make improvements are:

• Review the lone working risk assessment for the healthcare assistant (HCA) for duties they carry out.
• Consider introducing a process to review a sample of clinicians documented patient consultations.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services