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Parkside Medical Centre Requires improvement

Reports


Inspection carried out on 25 June 2019

During a routine inspection

We carried out an announced inspection at Parkside Medical Centre on 25 June 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:

  • Safe
  • Effective
  • Well-Led

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 and good for all population groups. The practice was rated as requires improvement for providing safe and well-led services.

We found that:

  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

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

  • The practice did not have clear and effective processes for managing risks, issues and performance. Staff did not receive regular appraisals structures to support formal clinical supervision for all staff with extended roles had not been consistently established.
  • There were gaps in staff records, with multiple records being unavailable for review. These included records relating to training, recruitment, DBS checks, registration with professional bodies and indemnity insurance.

The areas where the provider must make improvements are:

  • 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:

  • Undertake regular water checks as recommended in the legionella risk assessment.
  • Undertake an annual review of significant events to identify trends, drive improvement and reduce the risk of recurrence.
  • Continue to develop and embed effective systems to manage infection prevention and control (IPC).
  • Complete the transfer of policies and procedures to the newly implemented computer-based programme to support effective management oversight.

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 carried out on 5 February 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Smith & Partners on 5 February 2015.

The practice achieved an overall rating of Good. This was based on our rating of all of the five domains. Each of the six population groups we looked at achieved the same good rating.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

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

Importantly the provider should:

  • Introduce a system that confirms medicine stocks were checked periodically to ensure they were within their expiry date and suitable for use.
  • Introduce a system so blank electronic prescription forms are tracked through the practice and kept securely.
  • Review the infection control policy so control measures and lead roles are made explicit to practice staff.
  • Introduce suitable measures to audit the effectiveness of the infection control policy.
  • Ensure any recommended remedial work for ensuring legionella water safety is completed when the risk assessment report and recommendations are received from the external contractor.
  • Ensure recruitment arrangements include all necessary employment checks for all staff as specified in Schedule 3 of Health & Social Care Act 2008 (Regulated Activities) Regulations 2010.
  • Provide appropriate information to patients and other users of the practice on how they can make a complaint

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice