The Care Quality Commission
  • Doctor
  • GP practice

Archived: FMC Health Solutions Limited Also known as Park View Surgery

Overall: Good read more about inspection ratings

The Surgery, 148 Castleford Road, Normanton, West Yorkshire, WF6 2EP (01924) 224299

Provided and run by:
FMC Health Solutions Limited

Important: This service is now registered at a different address - see new profile

All Inspections

18 September 2019 to 18 September 2019

During an inspection looking at part of the service

We carried out an announced focused inspection at FMC Health Solutions Limited at Park View Surgery 18 September 2019. The practice was previously inspected by the Care Quality Commission on 15 September 2015, when it received a rating of Good overall, with a rating of outstanding for providing well led services and for the provision of services to people whose circumstances may make them vulnerable.

We decided to undertake an inspection of this service following our annual review of the information available to us, and due to the relocation of the service to a new premises. This inspection looked at the following key questions; are services safe, are services effective and are services well-led. At the time of inspection the practice was in the process of re-registering the new practice location with the Care Quality Commission.

We based our judgement on 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
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

At the previous inspection on 15 September 2015 the practice was rated as outstanding for providing well led services. Following this inspection, we have rated the practice as good. This is because initiatives and practices that were previously regarded as innovative or unusual may no longer be so.

We found that:

  • The practice worked under an overarching, parent organisation Health Care First Partnership (partners from the practice were also partners of Health Care First Partnership). This gave patients from the practice access to additional appointments via a shared practice list, and these patients were also able to receive a wider range of services.
  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. Learning from incidents was shared with others to prevent recurrence.
  • The practice closely monitored operational performance and, working with Health Care First Partnership, had developed dedicated performance and quality improvement processes. The service had, using guidance, produced their own service standards. It was though noted that some clinical audits lacked depth, and that a dedicated audit programme had not been specifically developed for the practice.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
  • There was a focus on continuous learning and improvement at all levels of the organisation.
  • Services had been developed to meet the specific needs of their population. For example, they operated a triage and patient call back service which was particularly beneficial to patients with acute conditions or those who experienced poor mental health.
  • The practice worked with others at a locality level to plan and develop services.
  • Staff told us they felt supported and valued by the leadership team at the practice.
  • Patients received structured reviews of their care and treatment and received advice and support to manage their symptoms.
  • We saw processes were in place to develop and support both clinical and non-clinical staff.

Whilst we found no breaches of regulations, the provider should:

  • Review and improve measures to give assurance that staff immunity status has been fully assessed in relation to MMR and Varicella.
  • Review and improve the frequency of fire alarm checks.
  • Review processes to ensure decisions in relation to not stocking emergency medicines were supported by suitable and sufficient risk assessments.
  • Review practice performance with regard to the prescribing of Hypnotics.
  • Review and seek to improve cervical, breast and bowel cancer screening patient take-up.
  • Review clinical audit processes to ensure audits were of sufficient depth and that subject areas were re-audited to track improvement.

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

Dr Rosie Benneyworth BM BS MDedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

15 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at FMC Health Solutions Limited on 15 September 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

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

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.

  • The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet people’s needs.

  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).
  • The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand.
  • The practice had a clear vision which had quality and safety as its top priority. A business plan was in place, was monitored and regularly reviewed and discussed with all staff. High standards were promoted and owned by all practice staff with evidence of team working across all roles.
  • The practice had a substance misuse and abuse worker to support alcohol reduction and could demonstrate this had a positive impact for patients using this service. Overall patient satisfaction was the best in the CCG
  • Clinician staff to patient ratio was amongst the highest in the CCG

  • Patient satisfaction ratings: Access, Quality, Patient Experience, amongst the highest in the CCG.

  • Friends and Family Test scored 97% approval (July 2015)

  • The practice obtained a top ten Flu vaccination rate in the CCG

  • 65% of patients with three or more Long Term Conditions (LTCs) had a care plan

  • The practice is accredited as ‘Safer Place’ a safe haven for vulnerable patients lost in the community

  • Internet development included on-line video tutorials for patients on managing long term conditions and new medication compliance

We saw several areas of outstanding practice including:

  • The practice had pioneered GP and advanced nurse practitioner (ANP) appointments at Pontefract General Infirmary to improve access for patients at weekends and to reduce the burden on the local accident and emergency department. During the period of the pilot the GP service saw 760 patients. These patients would otherwise have been managed by the A&E clinicians, so it reduced A&E’s workload.

  • The practice had increased the flexibility of access to appointments and could demonstrate the impact of this by reduced use of the GP out of hours service and very positive patient survey results.

  • The practice had reached out to the local community by approaching schools and had attended them to promote better health. If any underlying health issues were identified the patients (if they belonged to the practice) were offered an appointment at the practice and patients from other practices were advised to attend their own GP.

  • The practice was involved with two national studies and a quality improvement programme to better manage patients with Diabetes with detailed action plans which target higher risk patients. One of the GPs recently had this work published by RCGP and the results were disseminated nationally.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice