This practice is rated as Good overall. At the previous inspection in November 2014 the practice was rated as Outstanding overall.
The key questions at this inspection are rated as:
Are services safe? – Requires Improvement
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 Parish Fields Medical Practice on 7 March 2019 as part of our inspection programme.
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 rated the practice as requires improvement for providing safe services because:
- The provider did not ensure the proper and safe management of medicines, in particular, the safe and secure storage of medicines and restricting access to medicines including controlled drugs. Following our inspection, the practice responded by making security improvements.
We rated the population group people with long term conditions as requires improvement because:
- Quality and outcomes framework (QoF) data for 2017/18 was below local and national averages and the practice were not able to demonstrate that improvements made had positively impacted on the quality of care provided.
However, we also found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs, with the exception of patients with long term conditions.
- 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. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care, however improvements were required in the quality of care provided to people with long term conditions.
The areas where the provider must make improvements are:
- Ensure that care and treatment is provided in a safe way.
We identified areas where the provider could improve and should:
- Continue to monitor, evaluate and improve the quality of care provided to patients with long term conditions.
- Review access to services to improve timely access to care and treatment for patients.
- Improve the identification of carers to enable this group of patients to access the care and support they need.
- Review and improve systems and processes for patient outcomes, particularly in relation to exception reporting and the recording of the smoking status of patients.
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