Archived: Stanley Road Medical Centre

Updated 8 October 2015

Stanley Road Medical Centre is registered with the Care Quality Commission to provide primary care services. It provides GP services for approximately 3200 patients living in Liverpool. The practice is situated in a purpose built health centre. The practice has two male GPs (with a vacancy for a third GP), a practice management team, practice nurses, administration and reception staff. Stanley Road Medical Centre holds an Alternative Provider of Medical Services (APMS) contract with NHS England.

The practice is open during the week, between 8am and 6.30pm. Patients can book appointments in person, via the telephone or online. SMS text messaging is available for cancellation of appointments. 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 Liverpool Clinical Commissioning Group (CCG) and is situated in an area of high deprivation. The practice population is made up of a slightly higher than national average older population. Sixty nine percent of the patient population has a long standing health condition and there is a higher than national average number of unemployed patients.

The practice does not provide out of hours services. When the surgery is closed patients are directed to phone NHS 111 or the local out of hours service provider (UC24) for help.

Updated 8 October 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stanley Road Medical Centre on11 August 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and lessons learnt disseminated.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients were treated with care, compassion, dignity and respect and they were involved in their care and decisions about their treatment. They were not rushed at appointments and full explanations of their treatment were given. They valued their practice and rated it highly for patient satisfaction.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with routine and urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

We saw an area of outstanding practice:

• The practice staff had worked at the practice for a long period of time providing continuity in care and individuality with patients being well known to the practice. There was a high level of satisfaction with the care and patient experience as a whole. Results from the recently published National Patient Survey (July 2015) were exceptionally high and significantly above local and national data. Patients we spoke with and comment cards reviewed confirmed this high level of satisfaction with the care given by the practice staff.

There was an area where the provider could make improvements and they should:

• Ensure that national patient safety and other relevant alerts and guidance is followed and actions taken recorded.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 8 October 2015

The practice is rated as good for the care of people with long-term conditions. The practice maintained and monitored registers of patients with long term conditions for example cardiovascular disease, diabetes, chronic obstructive pulmonary disease and heart failure. These registers enabled the practice to monitor and review patients with long term conditions effectively. Clinical staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. Patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 8 October 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives and health visitors.

Updated 8 October 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and extended appointments for those with enhanced needs.

Updated 8 October 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 8 October 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). 100% of people experiencing poor mental health had received an annual review and health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia with 84% of patients having an agreed care plan in place.

The practice was able to signpost patients experiencing poor mental health to access various support groups and voluntary organisations. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Staff had received training on how to care for people with mental health needs and dementia.

Updated 8 October 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It was able to signpost vulnerable patients and their carers to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.