Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Park Medical Practice on 15 March 2016. The overall rating for the practice was Good. The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Park Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 15 March 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

• We reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Good Governance
• Significant events were now always recorded at the time they occurred and there was a review of significant events to ensure they were not repeated.
• There was an up to date health and safety policy, health and safety representatives and routine monitoring to assess and mitigate risks.

On this inspection we also found that:

• There was now a plan of clinical audit to monitor and improve the services provided.
• The practice had introduced a system of internal peer review that includes all GPs at the practice.
• The emergency medicines and equipment had not been relocated. However the practice had undertaken an assessment and determined the current location of these enabled staff to access these in the event of an emergency in a timely manner.
• Disposable curtains were now changed every six months.
• Identification information for staff was retained on personnel files.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Park Medical Practice on 15 March 2016. The overall rating for the practice was Good. The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Park Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 15 March 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

• We reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Good Governance
• Significant events were now always recorded at the time they occurred and there was a review of significant events to ensure they were not repeated.
• There was an up to date health and safety policy, health and safety representatives and routine monitoring to assess and mitigate risks.

On this inspection we also found that:

• There was now a plan of clinical audit to monitor and improve the services provided.
• The practice had introduced a system of internal peer review that includes all GPs at the practice.
• The emergency medicines and equipment had not been relocated. However the practice had undertaken an assessment and determined the current location of these enabled staff to access these in the event of an emergency in a timely manner.
• Disposable curtains were now changed every six months.
• Identification information for staff was retained on personnel files.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We saw various health promotional leaflets and posters were displayed in both waiting rooms. The practice leaflet was being reviewed to show details of the new partner. In the interim period an information sheet containing details of opening hours and access to treatment out of hours was available to patients.

Patient records were held electronically, access to computer records was password protected and computer systems were backed up each evening. Records were detailed and included evidence of referrals to other health care professionals, test results and where minor surgical procedures had been carried out signed consent had been obtained.

We walked around the building and saw all areas were clean and tidy. We saw hand washing posters were displayed next to wash basins. Liquid soap and paper towels were available in clinical areas. Sanitising hand gel dispensers were affixed to the wall throughout the building for patients and staff to use. We spoke with four patients who were attending the surgery for an appointment. Comments included: "I can get an appointment on the same day." "It is a brilliant service." "Always greeted with a smile." "Test results are always passed on." "I am never rushed by the Dr." "I am aware of the chaperone but you never have to ask; if you have an examination a chaperone always stays with you." "Brilliant." "New medicines are explained." "Don't know what I would do without them."