This practice is rated as Good overall. (Previous rating January 2015 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Central Park Medical Centre on 16 October 2018 as part of our inspection programme.
At this inspection we found:
- The practice had 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.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that generally they were able to access care when they needed it.
- There were systems in place to mitigate safety risks including health and safety, infection control and dealing with safeguarding.
- 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 reviewed and considered patient views through surveys and an active patient participation group (PPG).
- Staff worked well together as a team, knew their patients well and all felt supported to carry out their roles.
- There was a strong focus on learning and improvement at all levels of the organisation.
- The provider was aware of the requirements of the duty of candour.
We saw areas of outstanding practice for children and young people:
- The practice had a higher than national average number of young patients (Under 18years). Care for children and young people was led by the practice’s Paediatric Advanced Nurse Practitioner (PANP). The introduction of this role had led to improved care of children and young people provided by a fully qualified paediatric clinician. This also freed up GP time to see other patients. We saw examples of how outcomes for children and young people with both physical and mental ill health were improved.
- The PANP identified a number of children and young people presenting with medical conditions that were impacting on their overall health and well-being. They worked with and enrolled children and young people onto programmes with the Underground Training Station to undertake specific and targeted fitness and health and wellbeing programmes. We were told and saw feedback from parents that children’s confidence, mental health and physical health had all improved greatly as a result.
- The practice were the providers of clinical and governance support for the area’s children and young adult’s hospice. They provided GP on call cover daily and visiting when needed. They also provided support to hospice staff in governance and non-medical prescribing.
The areas where the provider should make improvements are:
- Review the practice's systems for checking and monitoring equipment considering relevant guidance and ensure that all equipment is well maintained, in particular, items in the trainee GP’s bag.
- Review the procedures for fully documenting action taken in response to safety alerts.