Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Parkside Family Practice on 27 April 2016. The practice was rated requires improvement for safe, responsive and well led services and good for effective and caring services. The overall rating for the practice was requires improvement. We undertook a focussed follow up inspection on 20 January 2017 to review the previous breaches of regulation identified at the April 2016 inspection. The practice was rated requires improvement for providing safe and well led services as insufficient improvements had been made. The full comprehensive report and follow up reports can be found by selecting the ‘all reports’ link for Parkside Family Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 27 September 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 20 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Our key findings were as follows:

• The practice had reviewed their processes and procedures for maintaining the cold chain.Fridge temperature recording logs were completed daily and breaches identified and escalated appropriately.
• Emergency medicines and equipment had been reviewed and risk assessed to ensure the practice met the needs of its population.

The practice is now rated as good for providing safe and well led services. Overall the practice is now rated as good.

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 Parkside Family Practice on 27 April 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the April 2016 inspection can be found by selecting the ‘all reports’ link for Parkside Family Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 20 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 27 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as requires improvement.

Our key findings were as follows:

• The practice had documentation of completed actions identified in the legionella risk assessment and infection control audits.
• They were monitoring medicine stock and sharps bins to ensure they were in date and fit for purpose.
• They had reviewed patient feedback and implemented changes to improve telephone access and nurse care and treatment.
• They had updated staff files to reflect current immunisation status.
• We found gaps in fridge temperature logs and cold chain breaches that had not been escalated.
• Emergency medicines were overdue for a review and had not been risk assessed for suitability of available resources. In addition, monitoring processes were not identifying expired or missing equipment.

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

Importantly, the provider must:

• Ensure governance arrangements are in place to monitor fridge temperatures and make sure staff are aware of how and when to escalate a cold chain breach.

• Undertake a review or risk assessment to ensure timely access and use in all associated emergency medicines and equipment. Ensure checking systems include observing expiry dates and replacement of missing equipment.

At our previous inspection on 27 April 2017, we rated the practice as requires improvement for not monitoring fridge temperatures. At this inspection we found that the fridge temperatures were still inconsistently recorded and breaches of the cold chain had not been escalated. Consequently, the practice is still rated as requires improvement for providing safe services.

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 of Parkside Family Practice on 27 April 2016. The practice was rated requires improvement for safe, responsive and well led services and good for effective and caring services. The overall rating for the practice was requires improvement. We undertook a focussed follow up inspection on 20 January 2017 to review the previous breaches of regulation identified at the April 2016 inspection. The practice was rated requires improvement for providing safe and well led services as insufficient improvements had been made. The full comprehensive report and follow up reports can be found by selecting the ‘all reports’ link for Parkside Family Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 27 September 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 20 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Our key findings were as follows:

• The practice had reviewed their processes and procedures for maintaining the cold chain.Fridge temperature recording logs were completed daily and breaches identified and escalated appropriately.
• Emergency medicines and equipment had been reviewed and risk assessed to ensure the practice met the needs of its population.

The practice is now rated as good for providing safe and well led services. Overall the practice is now rated as good.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice