All inspections: Park Health Care Centre

We carried out a review of the data available to us about Park Health Care Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Park Health Care Centre, you can give feedback on this service.

We carried out an announced inspection at Park Health Care Centre (also known as DELTA Healthcare) on 06 and 08 December. Overall, the practice is rated as Good.

Safe - Good

Effective - Good

Well Led - Good

Following our previous inspection on 07 August 2019, the practice was rated Requires Improvement overall and for the key questions of safe and effective but rated Good for caring, responsive, and well led.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Park Health Care Centre on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a follow-up inspection to follow up on:

Safe and effective care
Recommendations made at the last inspection, including:
- Improving the monitoring of blank prescriptions in the practice
- Improving the monitoring of patients receiving high risk medicines
- Improving the process for recruitment
- Ensuring staff receive safeguarding training appropriate to their level of responsibility
- Ensuring all staff received training appropriate training to the level and skill that is required to perform their role
- Improving the process for responding to complaints
- Improving the monitoring of safety alerts
- Continuing to monitor and improve care and treatment for patients as planned and provide regular reviews and assessment of needs in line with evidence-based guidance

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

Conducting staff interviews using video conferencing
Completing clinical searches on the practice’s patient records system and discussing findings with the provider
Reviewing patient records to identify issues and clarify actions taken by the provider
Requesting evidence from the provider
A short 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, although there were some areas which could be improved.

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

Add more detail to the documentation of significant events so that it is clear what action has been taken, by whom, and when.
Document clinical reasoning more thoroughly in the patient notes so it is clear what courses of treatment are being given to each patient and the reason why patient treatment may deviate from recommendations (for example, clearly stating why patients have not had recommended blood tests).
Ensure documentation around staff training is complete so any gaps can be addressed.
Consider an audit of patient reasons for non-attendance for cervical screening and immunisation in order to continue to improve these rates.

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

This service is rated as requires improvement overall

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at DELTA Healthcare at Park Health Care Centre , on 7 August 2019 as part of our inspection programme. This was the first inspection of the practice since the provider registered with the Commission in 2018.

The service is rated as requires improvement overall.

We rated the key questions as good with the exception of the safe and effective domains which we rated as requires improvement. Consequently, we rated all the population groups as requires improvement as the measures the practice had put in place were in there infancy and could not yet demonstrate the impact of any action taken. Therefore the requires improvement rating has impact on all the population groups and so we have rated all population groups as requires improvement.

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 found that:

The practice did not always provide care in a way that kept patients safe and protected them from avoidable harm.
The building was well maintained and clean
The practice did not have appropriate systems in place for the monitoring of patients receiving high risk medicines.
Some performance data was significantly below local and national averages. The practice was aware of this and had put measures in place to address this.
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 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:

Review and Improve the monitoring of blank prescriptions in the practice.
Improve the monitoring of patients receiving high risk medicines
Improve the process for recruitment.
Ensure staff receive safeguarding training appropriate to

their level of responsibility.

Ensure all staff received training appropriate training to the level and skill that is required to perform their role.
Improve the process for responding to complaints.
Improve the monitoring of safety alerts.
Continue to monitor and improve care and treatment for patients as planned and provide regular reviews and assessment of needs in line with evidence-based guidance

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

Park Health Care Centre Also known as DELTA Healthcare

All Inspections

6 July 2023

During a monthly review of our data

08 December 2021

During an inspection looking at part of the service

7 August 2019

During a routine inspection