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Park Royal Medical Practice Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 July 2019

We carried out an announced comprehensive inspection at Park Royal Medical Practice on 30 April 2019.

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.
  • The practice had limited safeguarding systems in place to ensure that children and vulnerable adults are reviewed regularly.
  • The practice did not have appropriate systems in place for the safe management of test results.
  • The practice did not have appropriate systems in place for the safe management of medicines including controlled drugs.
  • The practice was unable to demonstrate they had audited all prescribers within the practice.

We rated the practice as requires improvement for providing effective services because:

  • There was limited monitoring of the outcomes of care and treatment.
  • The practice was unable to demonstrate that staff had the skills, knowledge and experience to carry out their roles.
  • Patient outcomes were hard to identify as limited clinical audits had been carried out to improve the quality of care. There was limited evidence that the practice was comparing its performance to others; either locally or nationally.
  • Some performance data was below local and national averages.

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

  • While the practice had a clear vision, that vision was not supported by a credible strategy.
  • The practice culture did not effectively support high quality sustainable care.
  • The overall governance arrangements were ineffective.
  • The practice did not have formal succession plans in place for when senior members of staff plan to retire.
  • The practice did not have clear and effective processes for managing risks, issues and performance.
  • The practice did not always act on appropriate and accurate information.

These areas affected all population groups so we rated all population groups as requires improvement .

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 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:

  • Improve the identification of carers to enable this group of patients to access the care and support they need.
  • Ensure that information regarding interpreter services, for patients whose first language is not English, is displayed prominently.
  • Ensure that all staff including practice nurses have annual appraisals.
  • Ensure information regarding how to make a complaint is easily accessible for patients.
  • Ensure practice policies are reviewed and updated regularly.
  • Ensure non-clinical staff undertake basic life support training regularly.

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

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement