• Doctor
  • GP practice

Park Lane Surgery

Overall: Good

8 Park Lane, Broxbourne, Hertfordshire, EN10 7NQ (01992) 465555

Provided and run by:
Park Lane Surgery

Latest inspection summary

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Background to this inspection

Updated 1 December 2016

Park Lane Surgery provides a range of primary medical services to the residents of Broxbourne, Hoddesdon and the surrounding villages. The practice has been at its current location of 8 Park Lane, Broxbourne, Hertfordshire, EN10 7NQ since the 1960s. The building was updated to a purpose built practice in 1996.

The practice population is pre-dominantly white British with a higher than average over 45 year age range and a lower than average 25 to 39 year and under nine year age range. National data indicates the area is one of low deprivation. The practice has approximately 10,700 patients with services provided under a general medical services (GMS) contract, a nationally agreed contract with NHS England and GP Practices.

The practice is led by six GP partners, four male and two female. The nursing team consists of a nurse prescriber, two practice nurses and a health care assistant. There are a number of reception and administrative staff led by a practice manager and a deputy practice manager.

The practice is open from 8am to 1pm and 2pm to 6.30pm Monday to Friday. An emergency telephone number is available from the practice answerphone message between 1pm and 2pm.

When the practice is closed, out of hours services are provided by Herts Urgent Care and can be accessed via the NHS 111 service.

Overall inspection

Good

Updated 1 December 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Park Lane Surgery on 8 September 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • The practice held regular staff and clinical meetings where learning was shared from significant events and complaints.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • All patients had a usual GP providing continuity of care. Urgent appointments were available on the same day.
  • 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.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • The practice sought the views of their patients through the patient participation group, surveys and the friends and family test.

The areas where the provider should make improvement are:

  • Implement a system to monitor the use of blank prescription forms and pads in the practice.

  • Continue to monitor and ensure improvement to national patient survey results in relation to accessing appointments

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 1 December 2016

The practice is rated as good for the care of people with long-term conditions.

  • Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

  • Performance for diabetes related indicators was similar to the local and national averages. For example, the percentage of patients on the diabetes register, with a record of a foot examination and risk classification within the preceding 12 months was 88% compared to the CCG average of 90% and the national average of 88%.
  • Longer appointments and home visits were available when needed.

  • All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

Good

Updated 1 December 2016

The practice is rated as good for the care of families, children and young people.

  • There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

  • The practice’s uptake for the cervical screening programme was 82%, which was comparable to the CCG average of 83% and the national average of 82%.

  • Opportunistic chlamydia screening was offered to patients aged 15-24 years of age.

  • Appointments were available outside of school hours and the premises were suitable for children and babies.

  • We saw positive examples of joint working with midwives and health visitors.

Older people

Good

Updated 1 December 2016

The practice is rated as good for the care of older people.

  • The practice offered proactive, personalised care to meet the needs of the older people in its population.

  • Care plans were in place and reviewed annually

  • The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

  • Annual health checks were available to patients over the age of 75 years.

Working age people (including those recently retired and students)

Good

Updated 1 December 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

  • The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

  • The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

  • There was an automated blood pressure machine in the waiting area for patients to monitor their own blood pressure.

People experiencing poor mental health (including people with dementia)

Good

Updated 1 December 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

  • 93% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which was better than the national average

  • The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

  • The practice carried out advance care planning for patients with dementia.

  • The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

  • The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

  • Staff had a good understanding of how to support patients with mental health needs and dementia.

People whose circumstances may make them vulnerable

Good

Updated 1 December 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

  • The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

  • The practice offered longer appointments for patients with a learning disability.

  • The practice regularly worked with other health care professionals in the case management of vulnerable patients.

  • The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

  • Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.