Parkwood Family Practice

We carried out an announced comprehensive follow up inspection at Parkwood Family Practice on 19 May 2023. Overall, the practice is rated as Requires Improvement.

The ratings for each key question are as follows:

Safe – Requires Improvement

Effective – Requires Improvement

Well-led – Good

We carried out an announced inspection at Parkwood Family Practice on 10 November 2022. Overall, the practice was rated as Requires Improvement. We rated the practice as Inadequate for providing safe services, Requires Improvement for providing effective and well- led services and Good for providing responsive services. We issued both a Warning Notice and a Requirement Notice as part of our enforcement action.

Why we carried out this inspection

This inspection was a comprehensive inspection to re-rate the practice and ensure ongoing compliance with the regulations.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Parkwood Family Practice on our website at www.cqc.org.uk

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,
• 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 Requires Improvement overall

We rated the practice as Requires Improvement for providing safe and effective services because:

• An effective and standardised approach was applied to the safe care and treatment of patients prescribed high-risk medicines and those with long-term conditions. However, these required time to be fully embedded effectively and ensure that all patients received appropriate monitoring within the recommended timescales.
• Recruitment checks and storage of staff files were now carried out in accordance with regulations and practice policy.
• Staff vaccination was now being maintained in line with current UK Health and Security Agency guidance.
• Risks to patients, staff and visitors were being routinely assessed, monitored and managed effectively.
• Systems and processes for managing and responding to significant events had been improved and embedded effectively.
• Staff induction training was being formally recorded and the provider was able to demonstrate that all clinical staff had received training in recognising and managing sepsis.
• Leaders were aware of all required improvements to ensure the quality, safety and performance of the service. However, further improvements were required.
• Improvements had been made to the processes and systems that supported good governance and management.
• The practice’s processes for managing risks, issues and performance had been improved and were now effective.

We rated the practice as Good for providing well-led service because:

• There was compassionate leadership at all levels and leaders were aware of required improvements to ensure the quality, safety and performance of the service.
• Improvements had been made to ensure the processes and systems that supported good governance and management were embedded effectively.
• The practice’s processes for managing risks, issues and performance were now effective.

We found breaches of regulations. The provider must:

Ensure care and treatment is provided in a safe way to patients.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care