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Parkview Medical Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 January 2021

We carried out an announced comprehensive inspection at Parkview Medical Centre (Dr R Kukar and Partners) on 18 November 2020 to follow up on breaches of regulations.

The practice was previously inspected on 25 and 30 September 2019. Following that inspection, the practice was rated inadequate overall (inadequate in safe, effective, responsive and well-led and requires improvement in caring) and placed in special measures. We issued warning notices for breaches of Regulation 17 (Good governance) and Regulation 18 (Staffing). The practice was required to address these concerns by 20 November 2019. Following this we carried out an announced focused inspection at Parkview Medical Centre (Dr R Kukar and Partners) on 13 December 2019 to follow-up on the two warning notices and found that the provider had made improvements in general.

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 rated the practice as requires improvement for providing safe services.

At this inspection, we found the provider had made improvements in providing safe services. In particular we found that the provider had made improvements to their systems and process in relation to safeguarding, safe recruitment, monitoring cervical screening, prescription stationery and patient safety alerts. However, the provider had not actioned some of the issues found in their last infection prevention and control audit.

We rated the practice as requires improvement for providing effective services.

We found that the provider had made improvements for providing effective services. In particular the provider was able to demonstrate that core training had been undertaken by all clinical and non-clinical staff and they had implemented an appraisal and supervision schedule for their clinical staff and provided role-specific training for the healthcare assistants. However, patient records we reviewed indicated details of medicines reviews were not consistently documented. We also found that uptake of cervical, bowel and breast screening were significantly below average and there were no practice nurses working at the practice.

We rated the practice as good for providing caring services.

We found that the provider had made improvements for providing caring services. In particular the practice enabled people to express their views by carrying out patient surveys and making changes where necessary.

We rated the practice as good for providing responsive services.

We found that the provider had made improvements for providing responsive services. In particular, access to the service had improved.

We rated the practice as requires improvement for providing well-led services.

We found the provider had made improvements in providing well-led services in relation to good governance and had implemented systems and process in response to the findings of our previous inspection.

We have rated this practice as requires improvement overall and requires improvement for all population groups except working age people which was rated as inadequate.

The areas where the provider must make improvements are:

  • Ensure that care and treatment meet the needs of patients.
  • Establish effective systems and processes to ensure good governance in accordance with 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:

  • Address patients accessing online services in safeguarding policies.
  • Invest in paediatric defibrillator pads.
  • Improve non-clinical staff awareness of sepsis and identifying a deteriorating patient.

The service was placed in special measures in 14 November 2019 on publication of September 2019 report. Insufficient improvements have been made such that there remains a rating of inadequate in the population group working age people and the service remains in special measures. The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.

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

Inspection areas

Safe

Requires improvement

Effective

Requires improvement

Caring

Good

Responsive

Good

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Inadequate

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement