Chapel Group Medical Centre

Updated 9 March 2023

Chapel Group Medical Centre is located in Salford at:

220 Liverpool Road,

Irlam,

Manchester,

M44 6FE

The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, family planning, maternity and midwifery services, treatment of disease, disorder or injury and surgical procedures.

The practice is situated within the Greater Manchester Integrated Care System (ICS) and delivers General Medical Services (GMS) to a patient population of approximately 6761. This is part of a contract held with NHS England.

The practice is part of a wider network of GP practices in the Eccles and Irlam primary care network (PCN).

Information published by Public Health England shows that deprivation within the practice population group is in the fourth lowest decile (four of 10). The lower the decile, the more deprived the practice population is relative to others.

According to the latest available data, the ethnic make-up of the practice area is, 95.2% White, 2% Asian, 1.5% Mixed, 0.9% Black and 0.4% Other.

The age distribution of the practice population closely mirrors the local and national averages.

There is a team of three GPs who provide cover at the practice. The practice has a team of two nurses who provide nurse led clinics for long-term conditions supported by two assistant practitioners. The practice has one health care assistant who provides specific clinical procedures, such as blood pressure and new patient checks. The GPs are supported at the practice by a team of reception/administration staff. The practice manager and deputy practice manager provide managerial oversight.

Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance, most GP appointments were telephone consultations. If the GP needs to see a patient face-to-face then the patient is offered a face-to-face appointment.

Updated 9 March 2023

This inspection of 10 and 30 January 2023 was a full comprehensive inspection. All key questions were inspected. We have rated the practice good overall with the following ratings for individual key questions, reflecting the significant improvements that had been made:

Safe – good

Effective – good

Caring - good

Responsive – good

Well-led – good

We previously inspected Chapel Group Medical Centre, 220 Liverpool Road, Irlam, Manchester, M44 6FE on 26 May 2022. This was a full comprehensive inspection as part of our routine inspection programme. At that time the practice was given an overall rating of inadequate with the following key question ratings:

Safe - Inadequate

Effective – Requires Improvement

Caring - Good

Responsive – Requires Improvement

Well-led - Inadequate

After the inspection on 26 May 2022 a warning notice was issued for a breach of regulation 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activity) Regulations 2014. We also issued requirement notices for breaches of regulations 12 (safe care and treatment) and 16 (receiving and acting on complaints) of the Health and Social Care Act 2008 (Regulated Activity) Regulations 2014.

We carried out a further inspection at Chapel Group Medical Centre on 12 October 2022, to check progress against the requirements of the warning notice. We found the practice had taken positive action to address the issues raised in the warning notice. No ratings were awarded as part of that inspection.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Chapel Group Medical Group on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a comprehensive inspection of all five key questions. We also followed up on the breaches of regulations we found in our previous inspection.

How we carried out the inspection/review

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 using video conferencing.
• Completing clinical searches on the practice’s patient records system remotely (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A site visit.

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 have rated this practice as good overall

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

• Continue to make improvements to their cervical cancer screening rates.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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