Background to this inspection
Updated
23 May 2017
Eastham Group Practice - KJ Bush is registered with the Care Quality Commission to provide primary care services. The practice provides GP services for approximately 11700 patients living in Wirral and is situated in a purpose built medical centre. The practice has seven female GPs, three male GPs, an advanced nurse practitioner, three practice nurses, three healthcare assistants, one in-house phlebotomist, administration and reception staff (including medicine management staff) and a practice management team. It is a GP training practice and frequently has GP trainees working at the practice. Eastham Group Practice - KJ Bush holds a Personal Medical Services (PMS) contract with NHS England.
The practice is open Mondays 8am – 8.30pm, Tuesday–Friday 8am – 6.30pm and Saturday mornings (8.30am – 12.30pm). Monday evenings and Saturday mornings are for pre booked appointments only. Patients can book appointments in person, via the telephone or online. The practice provides telephone consultations, pre-bookable consultations, urgent consultations and home visits. The practice treats patients of all ages and provides a range of primary medical services.
The practice is part of Wirral Clinical Commissioning Group (CCG) and is situated in a more affluent area. The practice population is made up of around national average population groups with 20% of the population under 18 years old and 22% of the population aged over 65 years old. Seventy two percent of the patient population has a long standing health condition and there is slightly lower than the national and CCG average number of unemployed patients. Life expectancy for both males (81years) and females (85years) is higher than the national average (79years for males and 83years for females).
The practice does not provide out of hours services. When the surgery is closed patients are directed to the GP out of hours service provider (NHS 111). Information regarding out of hours services was displayed on the website and in the practice information leaflet.
Updated
23 May 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Eastham Group Practice - KJ Bush on 26 July 2016. The overall rating for the practice was good; however the practice was rated as requiring improvement for providing safe services. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Eastham Group Practice - KJ Bush on our website at www.cqc.org.uk.
This inspection was an announced focused follow up inspection carried out on 25 April 2017. This was 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 26 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings were as follows:
- Temperature sensitive medicines were stored and maintained safely and within the required range of temperature in medical fridges. Storage temperatures were monitored in order to identify any variations from the required range.
- Sterile equipment was appropriate and checks were maintained on the equipment to ensure they were sterile and within expiry dates for sterility.
- Prescription pads were stored securely.
- Improvements had been made to the minor ops room and cleaning schedules included specific instructions for the cleaning of this area.
In addition the practice had made the following improvements:
- The audit programme had been reviewed and now included six monthly infection control audits and audits of minor surgical procedures including infection rates.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
23 May 2017
The provider had resolved the concerns for safety identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group.
Families, children and young people
Updated
23 May 2017
The provider had resolved the concerns for safety identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group.
Updated
23 May 2017
The provider had resolved the concerns for safety identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group.
Working age people (including those recently retired and students)
Updated
23 May 2017
The provider had resolved the concerns for safety identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group.
People experiencing poor mental health (including people with dementia)
Updated
23 May 2017
The provider had resolved the concerns for safety identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group.
People whose circumstances may make them vulnerable
Updated
23 May 2017
The provider had resolved the concerns for safety identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group.