Pallion Family Practice, Hylton Road, Sunderland.

Pallion Family Practice in Hylton Road, Sunderland is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 21st December 2017

Pallion Family Practice is managed by Pallion Family Practice.

Contact Details:

Address: Pallion Family Practice Pallion Health Centre Hylton Road Sunderland SR4 7XF United Kingdom Telephone: 01915674673 Website: http://www.drlefley.nhs.uk

Ratings:

For a guide to the ratings, click here.

Further Details:

Important Dates:

Last Inspection		2017-12-21
Last Published		2017-12-21

Local Authority:

Sunderland

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

7th November 2017 - During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Pallion Family Practice on 20 September 2016. The overall rating for the practice was good, although the practice was rated as requires improvement for providing well-led services. We issued a requirement notice with respect to Regulation 17 on Good Governance because we found that processes were not in place to assess, monitor and improve the quality of service provided in carrying out the regulated activities for which the practice is registered. The full comprehensive report for the September 2016 inspection can be found by selecting the ‘all reports’ link for Pallion Family Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 November 2017 to review in detail the actions taken by the practice to improve the quality of care. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

The practice is now rated as good for providing well-led services, and overall the practice is rated as good.

Our key findings at this inspection were as follows:

• The practice had implemented an action plan to address most of the issues identified during the previous inspection.
• Appropriate arrangements were now in place to record and investigate significant events.
• Appropriate arrangements were now in place to ensure all relevant staff were aware of patient safety alerts.
• The practice had improved their approach to clinical audit; however, further improvements should still be made.
• Appropriate arrangements were now in place to record and monitor staff training.

At our previous inspection on 20 September 2016, we also told the provider that they should make improvements in other areas that included recruitment checks, complaints and appointment management. We saw at this inspection that improvements had been made:

• The practice had a process in place to ensure relevant recruitment checks were carried out and recorded. Records we checked confirmed that improvements had been made.
• Appropriate arrangements were now in place to record verbal complaints. When the practice responded to complaints with a letter this now included advice on what to do if the complainant was unhappy with the practice’s response.
• The practice had reviewed their appointment system to ensure its structure met the needs of the patient population. The patient participation group had supported the changes made and we saw that since changes had been made there had been a 14% reduction in the number of appointments where patients did not attend.

At this inspection, we found that there were some areas of practice where the provider still needed to make improvements. We also found that the practice’s registration with CQC was not up to date.

Therefore the provider should:

• Complete the process for the registration of the partnership with the Care Quality Commission.
• Continue to improve the arrangements for clinical audit. Clinical audit should be clearly linked to patient outcomes, monitored for effectiveness and comprise of two cycles to monitor improvements to patient outcomes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

20th September 2016 - During a routine inspection

Letter from the Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Pallion Family Practice on 20 September 2016. The overall rating for the practice was good, although the practice was rated as requires improvement for providing well-led services. We issued a requirement notice with respect to Regulation 17 on Good Governance because we found that processes were not in place to assess, monitor and improve the quality of service provided in carrying out the regulated activities for which the practice is registered. The full comprehensive report for the September 2016 inspection can be found by selecting the ‘all reports’ link for Pallion Family Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 November 2017 to review in detail the actions taken by the practice to improve the quality of care. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

The practice is now rated as good for providing well-led services, and overall the practice is rated as good.

Our key findings at this inspection were as follows:

• The practice had implemented an action plan to address most of the issues identified during the previous inspection.
• Appropriate arrangements were now in place to record and investigate significant events.
• Appropriate arrangements were now in place to ensure all relevant staff were aware of patient safety alerts.
• The practice had improved their approach to clinical audit; however, further improvements should still be made.
• Appropriate arrangements were now in place to record and monitor staff training.

At our previous inspection on 20 September 2016, we also told the provider that they should make improvements in other areas that included recruitment checks, complaints and appointment management. We saw at this inspection that improvements had been made:

• The practice had a process in place to ensure relevant recruitment checks were carried out and recorded. Records we checked confirmed that improvements had been made.
• Appropriate arrangements were now in place to record verbal complaints. When the practice responded to complaints with a letter this now included advice on what to do if the complainant was unhappy with the practice’s response.
• The practice had reviewed their appointment system to ensure its structure met the needs of the patient population. The patient participation group had supported the changes made and we saw that since changes had been made there had been a 14% reduction in the number of appointments where patients did not attend.

At this inspection, we found that there were some areas of practice where the provider still needed to make improvements. We also found that the practice’s registration with CQC was not up to date.

Therefore the provider should:

• Complete the process for the registration of the partnership with the Care Quality Commission.
• Continue to improve the arrangements for clinical audit. Clinical audit should be clearly linked to patient outcomes, monitored for effectiveness and comprise of two cycles to monitor improvements to patient outcomes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice