Little Lever Health Centre & Little Lever Library

On this page

• Overview
• Assessing needs
• Monitoring and improving outcomes

We assessed all quality statements in this key question. Not all clinicians kept up to date with current evidence-based practice. Systems were not in place to ensure staff were up to date with national legislation and required standards. Approaches to monitor and improve people’s outcomes were not effective. The practice team did not work well together. The provider did not have a full understanding of legislation around consent. This is the first inspection for this service since its registration with CQC at the current location. This key question has been rated as inadequate.

This service scored 33 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The systems and processes to keep clinicians up to date with current evidence-based practice were not effective, so people’s ongoing needs were not always met. As part of the assessment a number of set clinical record searches were undertaken by a CQC GP specialist advisor. Several issues were highlighted. People prescribed anti-coagulant medicines had not all had the required safety monitoring. The provider told us they were not aware the monitoring was required. We looked at people with a potentially missed diagnosis of Chronic Kidney Disease. There were issues with 2 of the 5 people we checked, and the provider told us they were not aware that specific action should have been taken. Older people prescribed non-steroidal anti-inflammatory drugs (NSAIDs) or anti-platelet medicines were not routinely also prescribed proton pump inhibitors (PPIs) to decrease stomach acid. The provider told us they were unaware of this requirement.

As part of the inspection a number of set clinical record searches were undertaken by a CQC GP specialist advisor. The results from the searches demonstrated that there were some gaps in the monitoring of people which could impact on continuous improvements being made. The processes in place were not effective.