Archived: Myrtle House Surgery

Updated 4 September 2017

Myrtle House surgery (154 Blackburn Road, Accrington, BB5 0AE) is part of the NHS East Lancashire Clinical Commissioning Group. (CCG)

Myrtle House surgery (154 Blackburn Road, Accrington, BB5 0AE) is part of the NHS East Lancashire Clinical Commissioning Group (CCG) and provides services to approximately 5000 patients under a General Medical Services contract with NHS England. The surgery building is a converted mid terraced house with limited parking. It has level access and provides patient facilities of a waiting area, treatment room and consulting rooms all on the ground floor. An additional waiting area and treatment/ consultation room is also provided on a lower ground floor which also provides ground level access externally from the rear of the property. We were told the lower ground floor rooms are not routinely used by the practice but are used by visiting healthcare professionals.

Since our inspection in January 2017 planning has commenced to relocate the practice to a purpose built centre a short distance away in September 2017.

The registered provider, Oswald Medical Centre, also offers services from three other sites under a separate contract with NHS England and in accordance with a separate CQC registration. It is noted Myrtle House Surgery is identified as a branch site of Oswald Medical Centre on the practice website. However, as Myrtle House Surgery operates under a separate contract with NHS England, an independent patient list is maintained and patients are not routinely able to access services at other Oswald Medical Centre sites without prior arrangement.

Information published by Public Health England rates the level of deprivation within the practice population group as level three on a scale of one to 10. Level one represents the highest levels of deprivation and level 10 the lowest. Male and female life expectancy in the practice geographical area is 76 years for males and 81 years for females, both of which are below the England average of 79 years and 83 years respectively. The number of patients in the different age groups on the GP practice register was generally similar to the average GP practice in England. The practice has a lower percentage (49%) of its population with a long-standing health condition when compared to the England average (53%). The practice percentage (62%) of its population with a working status of being in paid work or in full-time education is similar to the England average (63%). The practice percentage (5%) population with an unemployed status is also similar to the England average (4%).

The practice is staffed by five GP partners (one female and four male) and one salaried GP (female). The GPs are supported by a nurse practitioner, assistant practitioner, a healthcare assistant, a practice based community nurse and a practice based clinical pharmacist. Clinical staff are supported by a senior business manager, a practice manager and 12 administration and support staff. The practice is open Monday to Friday from 8am to 6.30pm with the exception of Wednesday when the practice closes at 1pm. Appointments are available between 8.30am and 11am Monday to Friday and between 3.30pm and 5.30pm Monday, Tuesday Thursday and Friday. On Wednesday afternoons patients are able to access appointments at a local Oswald Medical Centre site in addition to extended hours appointments at this alternate site on Monday from 6.30pm to 8.30pm. In addition to pre-bookable appointments that can be booked up to two weeks in advance, urgent appointments are also available for people that need them. When the practice is closed; Out of Hours services are provided by East Lancashire Medical Services and can be contacted by telephoning NHS 111.

Updated 4 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Myrtle House Surgery on 19 January 2017. The overall rating for the practice was requires improvement with the key questions of safe and well-led rated as requires improvement. Action was required to mitigate identified risks and to review and improve the governance arrangements to ensure they were comprehensive. Systems in place also required review to ensure appropriate follow-up action was taken for patients identified as vulnerable. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Myrtle House Surgery website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 11 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 19 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good. Our key findings were as follows:

• We saw evidence at this inspection that records of incidents were now in place and there was evidence of shared learning from these events including formal meetings and documentation of discussions.

• At this inspection, we saw evidence that the practice Health and Safety policy had been updated and a comprehensive risk assessment had been undertaken. All identified risks have been mitigated.
• We found at this inspection that an IPC audit had taken place, action taken as required and staff attended training in May 2017.
• At this inspection, we found that systems have been reviewed and all patients identified as vulnerable had an alert on their records.
• We saw evidence at this inspection that patient outcomes are now under ongoing review and achievement on the Quality and Outcomes Framework (QOF) had improved substantially.
• We found evidence of monitoring of staff updating their knowledge as policies were reviewed.
• We saw at this inspection that a training matrix had been introduced to monitor staff training. Personnel records remained poorly organised; however we saw evidence that this had been improved within two days of our inspection.
• At this inspection we saw that all clinical audit activity had been captured and that new protocols had been introduced to improve care and treatment.
• At this inspection, the practice showed us evidence of discussions regarding assisting patients who had a hearing loss. All staff had attended a meeting to discuss how to access translation services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 September 2017

The provider had resolved the concerns for safety and being well led identified at our inspection on 19 January 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-2685168685

Updated 4 September 2017

The provider had resolved the concerns for safety and being well led identified at our inspection on 19 January 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-2685168685

Updated 4 September 2017

The provider had resolved the concerns for safety and being well led identified at our inspection on 19 January 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-2685168685

Updated 4 September 2017

The provider had resolved the concerns for safety and being well led identified at our inspection on 19 January 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-2685168685

Updated 4 September 2017

The provider had resolved the concerns for safety and being well led identified at our inspection on 19 January 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-2685168685

Updated 4 September 2017

The provider had resolved the concerns for safety and being well led identified at our inspection on 19 January 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this. The specific findings relating to this population group can be found at http://www.cqc.org.uk/location/1-2685168685