- GP practice
Archived: Park Medical Practice
All Inspections
17 January 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Park Medical Practice on 15 March 2016. The overall rating for the practice was Good. The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Park Medical Practice on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 17 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 15 March 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings were as follows:
- We reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Good Governance
- Significant events were now always recorded at the time they occurred and there was a review of significant events to ensure they were not repeated.
- There was an up to date health and safety policy, health and safety representatives and routine monitoring to assess and mitigate risks.
On this inspection we also found that:
- There was now a plan of clinical audit to monitor and improve the services provided.
- The practice had introduced a system of internal peer review that includes all GPs at the practice.
- The emergency medicines and equipment had not been relocated. However the practice had undertaken an assessment and determined the current location of these enabled staff to access these in the event of an emergency in a timely manner.
- Disposable curtains were now changed every six months.
- Identification information for staff was retained on personnel files.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
15 March 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Park Medical Practice on 15 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 a system in place for reporting and recording significant events and these were investigated.
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents. However we found examples where concerns had not been reported and there was no system to record and investigate near misses.
- Data showed patient outcomes were low compared to the locality and nationally. Although some audits had been carried out, we did not see evidence that regular full cycle audits were driving improvement in performance to improve patient outcomes.
- Risks to patients were assessed and managed with the exception of those relating to health and safety and building risks.
- 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 treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Overall, patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
- Extended hours were over and above contractual requirements and the practice was open from 8am until 8pm on Mondays and Thursdays.
- 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.
The areas where the provider must make improvement are:
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The provider must accurately record significant events in a timely manner, and review them to ensure they do not happen again.
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The provider must introduce procedures to monitor and manage health and building safety within the practice.
In addition the provider should :
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Complete the required actions following the fire risk assessment carried out on 3rd March 2016.
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Introduce a plan of clinical audit to monitor and improve the services provided.
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Introduce a system of internal peer review that includes all GPs at the practice.
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Relocate the emergency medicines and equipment so they are easily accessible to all staff in the event of an emergency on all floors of the practice.
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Arrange for disposable curtains to be changed every six months.
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Retain copies of identification information on personnel files.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
2 October 2013
During a routine inspection
Patient records were held electronically, access to computer records was password protected and computer systems were backed up each evening. Records were detailed and included evidence of referrals to other health care professionals, test results and where minor surgical procedures had been carried out signed consent had been obtained.
We walked around the building and saw all areas were clean and tidy. We saw hand washing posters were displayed next to wash basins. Liquid soap and paper towels were available in clinical areas. Sanitising hand gel dispensers were affixed to the wall throughout the building for patients and staff to use. We spoke with four patients who were attending the surgery for an appointment. Comments included: "I can get an appointment on the same day." "It is a brilliant service." "Always greeted with a smile." "Test results are always passed on." "I am never rushed by the Dr." "I am aware of the chaperone but you never have to ask; if you have an examination a chaperone always stays with you." "Brilliant." "New medicines are explained." "Don't know what I would do without them."