Parkside Medical Practice - Care Quality Commission

Background to this inspection

Updated 27 June 2017

Parkside Medical Practice is located in Walsall, West Midlands situated in a multipurpose modern built NHS building, providing NHS services to the local community.

Based on data available from Public Health England, the levels of deprivation (Deprivation covers a broad range of issues and refers to unmet needs caused by a lack of resources of all kinds, not just financial) in the area served by Parkside Medical Practice are below the national average, ranked at four out of 10, with 10 being the least deprived. The practice serves a higher than average patient population aged between 45 to 54 and 75 to 84. The practice has a below average of patients aged 25 to 44 and 55 to 64.

The patient list is approximately 3,987 of various ages registered and cared for at the practice. Services to patients are provided under a General Medical Services (GMS) contract with the Clinical Commissioning Group (CCG). GMS is a contract between general practices and the CCG for delivering primary care services to local communities.

The surgery has expanded its contracted obligations to provide enhanced services to patients. An enhanced service is above the contractual requirement of the practice and is commissioned to improve the range of services available to patients.

The practice is situated on the ground floor of a multipurpose building shared with other healthcare Providers and the local library. On-site parking is available along with facilities for cyclists and patients who display a disabled blue badge. The practice has automatic entrance doors and is accessible to patients using a wheelchair.

The practice staffing consist of one female GP and one male GP, one practice nurse (independent prescriber), one nurse practitioner, a practice manager and a team of administrative staff.

The practice is open between 8am and 7.30pm on Mondays, 7.30am and 6.30pm on Tuesdays and Fridays, 8am and 1pm Wednesdays; 8am and 6.30pm Thursdays. On the last Friday of every month, the practice closes at 1pm.

GP consulting hours are from 8am to 7.30pm on Mondays. Tuesdays consulting times are from 7.30am to 6pm; Wednesdays are from 8am to 12.30 noon; Thursdays from 8am to 6pm and Fridays from 7.30am to 6pm except for the last Friday of every month where the practice closes at 1pm.The practice has opted out of providing cover to patients in their out of hours period. During this time services are provided by NHS 111. During their in hours, closure time’s services are provided by WALDOC (Walsall doctors on call).

Overall inspection

Good

Updated 27 June 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Parkside Medical Practice on 18 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Parkside Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 June 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 18 October 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

At our previous inspection, we found variations across systems for reporting and investigating significant events. At this inspection, we saw that the practice operated an effective system for reporting and recording significant events. Records showed that the practice had responded and learned from safety incidents.
Effective systems were now in place for receiving and acting on alerts from the Medical and Healthcare products Regulatory Agency (MHRA).
At our October 2016 inspection, we found the management of medicines was not effective. During this inspection we found the practice had strengthened their use of medicine management templates to ensure medicines were being monitored according to guideline recommendation.
When we carried out our previous inspection, we saw that some systems and processes were not effective. At this inspection, we saw the management of risks, monitoring of training needs, clinicians registration with professional bodies and indemnity cover had improved.
At this inspection, we found that training needs had been addressed and there was evidence of appraisals and personal development plans for staff members.
The practice had a number of policies and procedures to govern activity. Since the previous inspection staff had access to all practice policies. Oversight of procedures had improved since the previous inspection. As a result, a number of processes were being operated effectively.

In addition the provider should:

Continue to consider ways of encouraging the uptake of national screening programmes such as bowel and breast cancer.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice