• Doctor
  • GP practice

Larkside Practice

Overall: Requires improvement read more about inspection ratings

Churchfield Medical Centre, 322 Crawley Green Road, Luton, Bedfordshire, LU2 9SB (01582) 722143

Provided and run by:
Larkside Practice

All Inspections

During an assessment under our new approach

Date of Assessment: 25 November 2024 to 17 January 2025.

Larkside Practice is a GP practice that delivers services to around 9,767 patients under a contract held with NHS England. It is in a purpose built 2 storey location that is shared with another GP practice at Churchfield Medical Centre, 322 Crawley Green Road, Luton, Bedfordshire, LU2 9SB. Patient consultations and treatments take place on the ground floor aside from phlebotomy services (a lift based second floor service which also accommodates staff offices).

This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. We carried out this assessment in response to concerns and risk we identified through our ongoing monitoring of the service.

Overall, the practice is now rated as requires improvement, with the key questions safe and well-led rated as requires improvement and effective and responsive rated as good. This was because the practice did not always provide care in a way that kept people safe and protected from avoidable harm; and because the service was not always led in a way that supported the delivery of high quality care, learning and innovation. Processes for managing risks, issues, and performance were not always effective. However, we also found that generally staff worked effectively across teams and services to support people, delivered person centred care and recognised the importance of flexibility, informed choice and continuity of care. During this assessment, we did not look at the key question caring. So, its good rating is based on its previous inspection rating, dated 24 March 2016.

We found breaches of regulation in relation to safe care and treatment and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment. Where relevant, further commentary is provided in the quality statements section of this report.

24 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Larkside Practice on 24 March 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were happy with the care they received and thought staff were friendly, helpful and caring. Patients commented that they felt they had enough time with the GPs and they were involved in their care and treatment options.
  • Information about services and how to complain was available and easy to understand.
  • Patients said there was sometimes a delay in making an appointment with a GP of choice but urgent appointments were 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.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

We saw one area of outstanding practice:

  • The practice provided services to homeless and hard to reach people by working, once a week, with a Luton based charity called New Opportunities And Horizons (NOAH) that offered support to people struggling against homelessness and exclusion. They saw patients living rough on the street that needed to see a GP and who may need referral to secondary care.

The areas where the provider should make improvement are:

  • Carry out regular fire drills.

  • Keep documentation of the monthly checks of the oxygen cylinders.

  • Display notices in the practice to advise chaperones are available.

  • Continue to monitor patient feedback regarding access to services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice