Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Park Medical Practice on 14 April 2016. Overall the practice was rated as good. The practice was rated good for providing caring, effective, responsive and well-led services. However, we found breaches of Regulation 12 (safe care and treatment) and Regulation 18 (staffing) of The Health and Social Care Act (Regulated Activities) Regulations 2014. The practice was rated as requires improvement for providing safe services.

We required the practice to make the following improvements:

• Implement a system to ensure all Patient Group Directions were current, authorised and signed before vaccinations were provided to patients.

• Ensure all staff receive up to date training in infection prevention and control.

We carried out a focused desk based inspection on 3 January 2017 to assess if the practice had implemented the changes needed to provide safe services. During this focussed inspection we found the provider had taken appropriate action to meet the requirements and following a review of evidence the practice is now rated as good for providing safe services, with the practice now being rated as good for all domains and population groups.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published in October 2016. This can be done by selecting the 'all reports' link for Park Medical Practice on our website at www.cqc.org.uk.

Our key findings across all the areas which we inspected on 3 January 2017 were as follows:

• The practice provided copies of Patient Group Directions within 48hours of the inspection undertaken in April 2016. The practice had implemented a system to review Patient Group Directions to ensure they are always in date and signed by relevant staff members.

• The lead nurse and all staff have now completed infection control training.

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 14 April 2016. Overall the practice was rated as good. The practice was rated good for providing caring, effective, responsive and well-led services. However, we found breaches of Regulation 12 (safe care and treatment) and Regulation 18 (staffing) of The Health and Social Care Act (Regulated Activities) Regulations 2014. The practice was rated as requires improvement for providing safe services.

We required the practice to make the following improvements:

• Implement a system to ensure all Patient Group Directions were current, authorised and signed before vaccinations were provided to patients.

• Ensure all staff receive up to date training in infection prevention and control.

We carried out a focused desk based inspection on 3 January 2017 to assess if the practice had implemented the changes needed to provide safe services. During this focussed inspection we found the provider had taken appropriate action to meet the requirements and following a review of evidence the practice is now rated as good for providing safe services, with the practice now being rated as good for all domains and population groups.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published in October 2016. This can be done by selecting the 'all reports' link for Park Medical Practice on our website at www.cqc.org.uk.

Our key findings across all the areas which we inspected on 3 January 2017 were as follows:

• The practice provided copies of Patient Group Directions within 48hours of the inspection undertaken in April 2016. The practice had implemented a system to review Patient Group Directions to ensure they are always in date and signed by relevant staff members.

• The lead nurse and all staff have now completed infection control training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

The practice had a patient list of 10,320. There were eight GPs and other healthcare professionals such as nurse practitioners, health care assistants and phlebotomists. Some community healthcare professionals, not employed by the practice, used the facilities at the surgery to see patients who were referred to them. This allowed good communication between professionals and easy access to services for patients.

The practice was based in a modern purpose built building which was accessible to people with all levels of mobility.

All consultations and treatments took place in individual consulting rooms to ensure patient’s privacy and confidentiality was respected.

Patients had sufficient information to assist them to make decisions about their health care.

Patients we spoke with were complimentary about the service they received from the surgery. Comments included; “I like my doctor very much, I feel confident and relaxed with her” and “I have no complaints. I think I have received a good service every time I’ve seen someone.”

The practice worked with other health care services to make sure patients received appropriate care and support.

Staff told us they were well supported by the practice and their colleagues. One member of staff said “It’s a lovely place to work. Everyone is always ready to give you advice and support.”

The practice had a complaints procedure which was available on their website and in the surgery.