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Parkstone Health Centre Good Also known as Dr Primavesi & Partners

Reports


Inspection carried out on 28 November 2016

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Parkstone Health Centre on 16 September 2015. Overall the practice is rated as good. The practice was rated good for providing caring, effective, responsive and well-led services. However, we found breaches of Regulation 12 (safe care and treatment) and Regulation 19 (fit and proper persons employed) of The Health and Social Care Act (Regulated Activities) Regulations 2014. The practice was rated as requires improvement for providing safe services.

We issued two requirement notices and informed the practice that they must make the following improvements:

  • Ensure blank prescriptions are logged and tracked throughout the practice.

  • Ensure vaccines are stored in a safe and secure way.

  • Ensure patient group directions are authorised appropriately.

  • Ensure recruitment arrangements include all necessary employment checks for all staff.

We carried out a focused follow inspection on 28 November 2016 to assess if the practice had implemented the changes needed to provide safe services. During this focussed inspection we found the provider had taken appropriate action to meet the requirements and following a review of evidence the practice is now rated as good for providing safe services, with the practice now being rated as good for all domains and population groups.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published in December 2015. This can be done by selecting the 'all reports' link for Parkstone Health Centre on our website at www.cqc.org.uk.

Our key findings across all the areas which we inspected on 28 November 2016 were as follows:

  • The practice had implemented a system to ensure all prescriptions were managed and tracked in accordance to current guidelines.

  • Vaccines were now stored safely and securely.

  • Patient group directions had been authorised appropriately.

  • The practice had in place evidence of all relevant, required employment checks for all staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 16/09/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Parkstone Health Centre on 16 September 2015. 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.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Information about services and how to complain was available and easy to understand.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • Risks to patients were assessed and managed, with the exception of those relating to medicines management and staff recruitment.
  • There was a clear leadership structure and staff felt supported by management.

  • The majority of patients said they were treated with compassion, dignity and respect. However, not all felt cared for, supported and listened to.
  • Improvements to the quality of services identified from patient surveys and quality outcome tools had not been acted upon.

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

Importantly the provider must:

  • Ensure recruitment arrangements include all necessary employment checks for all staff.

  • Ensure prescriptions are logged and tracked throughout the practice.

  • Ensure vaccines are stored in a safe and secure way.

  • Ensure patient group directions are authorised appropriately.

In addition the provider should:

  • Take action to address concerns about poor patient satisfaction.

  • Ensure that governance arrangements are robust and include an assessment of risks and patient outcomes

    Review the data and take action to address the higher than national and CCG average for the QOF exception percentage.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 6 June 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Parkstone Health Centre on 16 September 2015. Overall the practice is rated as good. The practice was rated good for providing caring, effective, responsive and well-led services. However, we found breaches of Regulation 12 (safe care and treatment) and Regulation 19 (fit and proper persons employed) of The Health and Social Care Act (Regulated Activities) Regulations 2014. The practice was rated as requires improvement for providing safe services.

We issued two requirement notices and informed the practice that they must make the following improvements:

  • Ensure blank prescriptions are logged and tracked throughout the practice.

  • Ensure vaccines are stored in a safe and secure way.

  • Ensure patient group directions are authorised appropriately.

  • Ensure recruitment arrangements include all necessary employment checks for all staff.

We carried out a focused follow inspection on 28 November 2016 to assess if the practice had implemented the changes needed to provide safe services. During this focussed inspection we found the provider had taken appropriate action to meet the requirements and following a review of evidence the practice is now rated as good for providing safe services, with the practice now being rated as good for all domains and population groups.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published in December 2015. This can be done by selecting the 'all reports' link for Parkstone Health Centre on our website at www.cqc.org.uk.

Our key findings across all the areas which we inspected on 28 November 2016 were as follows:

  • The practice had implemented a system to ensure all prescriptions were managed and tracked in accordance to current guidelines.

  • Vaccines were now stored safely and securely.

  • Patient group directions had been authorised appropriately.

  • The practice had in place evidence of all relevant, required employment checks for all staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

CQC Insight

These reports bring together existing national data from a range of indicators that allow us to identify and monitor changes in the quality of care outside of our inspections. The data within the reports do not constitute a judgement on performance, but inform our inspection teams. Our judgements on quality and safety continue to come only after inspection and we will not make judgements on data alone. The evidence tables published alongside our inspection reports from April 2018 onwards replace the information contained in these files.