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Park Lane House Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 31 March 2015

Letter from the Chief Inspector of General Practice

This is the report of findings from our inspection of Park Lane House Medical Centre. The practice is registered with the CQC to provide primary care services. We undertook a planned, comprehensive inspection on 9 December 2014 and we spoke with patients, relatives, staff and the practice management team.

The practice was rated as Good.

Our key findings were as follows:

  • The practice had good systems in place to ensure patients and staff were kept safe. However we found that fitness checks for staff were not undertaken for practice roles that required this.
  • Patient’s needs were assessed and care was planned and delivered in line with current legislation and best practice guidelines.
  • Patients were treated with compassion, dignity and respect and that they were involved in care and treatment decisions.
  • Systems were in place to ensure the needs of the local population were identified and met.
  • The practice had a clear leadership structure and staff felt supported by management. There were systems in place to monitor and improve quality and identify risk, this included proactive engagement with the practice Patient Participation Group (PPG).

There were areas of practice where the provider needs to make improvements.

The provider should:

  • Ensure doctors have available emergency drugs or have in place a risk assessment to support their decision not to have these available for use in a patient’s home.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 9 February 2018

Effective

Good

Updated 9 February 2018

Caring

Good

Updated 9 February 2018

Responsive

Good

Updated 9 February 2018

Well-led

Good

Updated 9 February 2018

Checks on specific services

Older people

Good

Updated 31 March 2015

The practice was rated as good for the care of older people. Nationally reported data showed the practice had good outcomes for conditions commonly found amongst older people. The practice offered proactive, personalised care to meet the needs of the older people in its community and had a range of enhanced services, for example in dementia and end of life care. The practice was responsive to the needs of older people, including offering home visits and rapid access appointments for those with enhanced needs and home visits.

People with long term conditions

Good

Updated 31 March 2015

The practice was rated as good for the population group of people with long term conditions. Emergency processes were in place and referrals made for patients that had a sudden deterioration in health. When needed longer appointments and home visits were available. All these patients had a named GP and structured annual reviews to check their health and medication needs were being met. For those people with the most complex needs the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

Good

Updated 31 March 2015

The practice was rated as good for the population group of families, children and young people. Systems were in place for identifying and following-up children living in disadvantaged circumstances and who were at risk. For example, children and young people who had a high number of A&E attendances. Immunisation rates were high for all standard childhood immunisations. Appointments were available outside of school hours and the premises were suitable for children and babies. Emergency processes were in place and referrals made for children and pregnant women who had a sudden deterioration in health.

Working age people (including those recently retired and students)

Good

Updated 31 March 2015

The practice was rated as good for the population group of the working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students, had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offer continuity of care. The practice was proactive in offering online services as well as a full range of health promotion and screening which reflects the needs for this age group.

People whose circumstances may make them vulnerable

Good

Updated 31 March 2015

The practice was rated as good for the population group of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with learning disabilities. The practice had carried out annual health checks for people with learning disabilities. The practice offered longer appointments for people with learning disabilities and they supported the work of volunteer supportive groups for patients with learning disabilities across the community.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. The practice had sign-posted vulnerable patients to various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in and out of hours.

People experiencing poor mental health (including people with dementia)

Good

Updated 31 March 2015

The practice was rated as good for the population group of people experiencing poor mental health (including people with dementia). Annual health assessments took place including the patients physical health needs. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health including those with dementia. The practice had in place advance care planning for patients with dementia.

The practice had sign-posted patients experiencing poor mental health to various support groups and voluntary sector organisations including MIND and SANE. The practice had a system in place to follow up on patients who had attended accident and emergency where there may have been mental health needs. Staff had received training on how to care for people with mental health needs and dementia.