Archived: Grange Park Health Centre

We carried out an announced comprehensive inspection at Grange Park Health Centre on 21 May 2019 as part of our inspection programme.

This was the first inspection of Grange Park Health Centre since the new provider took over in November 2018.

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 have rated this practice as requires improvement overall.

We rated the practice as good for providing caring and responsive services because:

• 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.

We rated the practice as requires improvement for providing safe, effective and well led services because:

• Training records were not up-to-date and a clinical member of staff had not received an appraisal. Staff reported that it was difficult for them to complete training as they did not have protected time.
• The management of test results had not always been managed in a timely manner.
• Care and treatment was not always delivered in line with best practice guidance.
• The practice did not have effective oversight of significant incidents and safety alerts. Systems to disseminate learning were not comprehensive.
• There was a lack of audit and quality monitoring of systems.

The areas where the provider must make improvements are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

There were areas where the provider should make improvements:

• Review best practice guidelines to ensure care and treatment is delivered appropriately.
• Continue with plans to complete two-cycle audits and implement a quality improvement programme including audit of patient consent and the prescribing of NSAIDs.
• Continue to promote the development of the Patient Participation Group.
• Consider developing a formal vision, strategy and business plan for the practice.
• Document a formal risk assessment for the emergency medicines not held by the practice and maintain written records of stocks and expiry dates of medicines held in the practice.

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