We carried out an announced comprehensive inspection at Parkview Practice on 11 and 19 March 2019 as part of our inspection programme.
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 requires improvement overall.
We rated the practice as requires improvement for providing safe services because:
•The practice did not have clear systems and processes to keep patients safe.
•Receptionists had not been given guidance on identifying deteriorating or acutely unwell patients.
•The practice did not learn and make improvements when things went wrong.
We rated the practice as requires improvement for providing effective services because:
•The practice was unable to show that staff had the skills, knowledge and experience to carry out their roles.
•Some performance data was significantly below local and national averages.
We rated the practice as requires improvement for providing well-led services because:
•The practice did not have clear and effective processes for managing risks, issues and performance.
•We saw limited evidence of systems and processes for learning, continuous improvement and innovation.
We rated the practice as good for providing caring and responsive services because:
•Staff dealt with patients with kindness and respect and involved them in decisions about their care.
•The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
The areas where the provider must make improvements are:
•Ensure that care and treatment is provided in a safe way.
•Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
•Implement a systematic programme of clinical audit to measure and improve patient outcomes.
•Improve the identification of carers to enable this group of patients to access the care and support they need.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care