Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at this practice on 8 January 2015.

A breach of legal requirements was found. The practice was required to make improvements in the domain of ‘Effective’.

After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

Regulation 23 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. Supporting staff; which corresponds with:

Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Staffing.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Parkfield Medical Centre on our website at www.cqc.org.uk.

Our key findings were as follows:

• The practice had addressed the issues identified during the previous inspection.

• Staff had received the appropriate training required for their role. There was a training matrix in place to monitor when refresher training was due.

• Effective systems were in place to ensure those patients with long term conditions received the treatment they needed, which met their needs.

• The practice had improved the uptake of cytology screening since our previous inspection.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

This is the report of findings from our inspection of Parkfield Medical Centre. Our inspection was a planned comprehensive inspection which took place on 8 January 2015.

The service provided by Parkfield Medical Centre is rated as requires improvement. We found care and treatment delivered to patients was safe, caring and responsive to patients’ needs. We found some improvements were required to make services more effective and to embed leadership.

Our key findings were as follows:

• Care and treatment delivered by the practice was safe. Clear systems and procedures to protect and maintain patient safety were in place at the practice.
• Safeguarding protocols were adhered to. Practice staff researched and checked information for accuracy. Updated information was accessible to all clinicians, including GPs on training placement with the practice.
• The practice staff were caring and considerate towards patients. Practice staff recognised the importance of patient confidentiality and treated patients with dignity and respect.
• The practice was responsive to patients’ needs. Services delivered by the practice met the needs of the various population groups and access to appointments was good.

However, there were also areas of practice where the provider needs to make improvements.

• Staff training, supervision and appraisal should be timely and must be in place for all staff

Importantly, the provider must:

• Ensure that all staff employed for the purposes of carrying on the regulated activity are appropriately supported in relation to their responsibilities, to enable them to deliver care and treatment to service users safely and to an appropriate standard. This includes opportunities for all staff to receive appropriate training, professional development, supervision and appraisal, and audit of the work of practice nurses.

In addition the provider should:

• Have effective systems to regularly assess and monitor the quality of the services provided.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice