South King Street Medical Centre - Care Quality Commission

Background to this inspection

Updated 25 August 2016

Dr E. Bonsell and Partners is situated in the South Shore area of Blackpool in a built up area with good transport links. It is housed in an older purpose-built medical centre. The practice together with a neighbouring practice has plans to develop an adjacent building to provide a new health centre for its patients in the future. The practice provides services to 6108 patients.

The practice is part of the NHS Blackpool Clinical Commissioning Group (CCG) and services are provided under a Personal Medical Services Contract (PMS). There are three male GP partners. The practice also employs a nurse practitioner, two practice nurses, a primary health care assistant and a pharmacist. Non-clinical staff consisting of a business practice manager, a reception manager, a repeat prescription manager, an office manager and 13 administrative and reception staff support the practice. The practice is a teaching practice.

The practice is open between 7.30am and 7pm on Mondays, Tuesdays and Thursdays and 7.30am and 6.30pm on Wednesdays and Fridays. Appointments are from 7.30am daily with the latest appointment offered at 6.50pm. When the practice is closed, patients are able to access out of hours services offered locally by the provider Fylde Coast Medical Services by telephoning 111.

The practice has a larger proportion of patients aged between 45 and 60 years of age compared to the national average. There are fewer patients aged under 18 on the practice list (16%) than the CCG average of 19% and the national average of 21%.

Information published by Public Health England rates the level of deprivation within the practice population group as one on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.

The practice caters for a higher proportion of patients experiencing a long-standing health condition (67% compared to the local average of 63% and national average of 54%). The proportion of patients who are in paid work or full time education is slightly higher (53%) than the CCG average of 52% and lower than the national average of 62%. Unemployed figures are significantly higher, 9% compared to the CCG average of 7% and the national average of 5%.

The practice provides level access to the building and is adapted to assist people with mobility problems. The building is on two floors, with all of the consulting and treatment rooms being on the ground floor.

Overall inspection

Good

Updated 25 August 2016

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Dr E. Bonsell and Partners for one area within the key question safe.

We found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was previously inspected on 27 April 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall. However, within the key question safe, staffing was identified as requires improvement, as the practice was not meeting the legislation at that time; Regulation 18 HSCA (RA) Regulations 2014 Staffing.

The practice clinical deputy safeguarding lead was trained to child protection or child safeguarding level three and all non-clinical staff to level one which was appropriate for their role. However, GPs were trained to level one instead of level three and nurses to level one instead of level two.

The practice has submitted to CQC, a range of documents which demonstrate they are now meeting the requirements of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice