Archived: Park View Medical Centre

We carried out an announced inspection at Park View Medical Practice on 24 August 2021 to follow up on the findings from the last inspection on 18 May 2019. During the inspection on 18 May 2019, the practice was rated Requires Improvement overall and for the key questions safe and well-led. It was rated good for key questions effective, caring responsive.

Due to assurances we received from our review of information, we carried forward the ratings for the following key questions: caring and responsive from our last inspection in May 2019.

Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: safe, effective and well-led.

Overall, the practice is rated as good. Following our review on 24 August 2021, it is rated as good in safe, effective, caring, responsive and well-led, as well as in all of the population groups.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Park View Medical Centre on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a focused inspection to follow up on:

• Breaches in Regulations relating to Safe Care and Treatment and Good Governance
• Two best practice recommendations
• Consider their approach to clinical audit to develop consistency and clear evidence of their impact on the outcomes achieved for patient care
• Ensure staff training is monitored closely and records are updated. Staff should be encouraged to undertake a wide range of training modules to support wider team development

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Conducting staff interviews using video conferencing
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• Reviewing patient records
• Requesting evidence from the provider
• Speaking with care home staff using the telephone
• Speaking with members of the Patient Participation Group using the telephone
• A site visit

Our findings

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 Good overall and good for all population groups.

We found that:

• The practice had actioned and put measures in place for all the improvements areas identified in the previous inspection, including the breaches in regulation.
• Staff spoke highly about the management team and commented that leaders were visible and approachable. Staff felt supported and valued in their work.
• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Recruitment processes for locum staff had been strengthened and the required information was available in the staff files.
• Improvements had been made to the monitoring of vaccine refrigerators, a risk assessment completed for the suggested emergency medicines not held in the practice, patient group directions were in date and signed and a system in place to monitor uncollected prescriptions.
• Effective processes for the safe handling of requests for repeat medicines for long-term conditions and to monitor the health of patients prescribed some high-risk medicines were in place.
• Patients received effective care and treatment that met their needs.
• Staff had the skills, knowledge and experience to carry out their roles. There was a system in place to monitor compliance with staff training. Staff were encouraged and supported to develop their skills and move to new roles with the practice.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
• Observation of staff interactions with patients supported that patients were treated with kindness and respect.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care. Consideration was given to succession planning and action was being taken to support the resilience and sustainability of the practice.
• Governance arrangements had been strengthened and were working effectively. The management team had oversight of any identified risks and action had been taken to mitigate these.

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

• Continue to monitor the action taken by the landlord and address the recommendations in the fire, health and safety and the legionella risk assessments.
• Consider implementing a system to check that urgent referral appointments to secondary care made on behalf of the practice were in place and that patients had attended the appointment.
• Develop and implement a formalised system to monitor the competency of staff working in advanced roles.
• Continue to encourage patients on the severe mental health register to attend the practice for their annual review.
• Educate staff about the Freedom to Speak up Guardian.

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