When we visited Park Lane Practice on 13 January 2016 to carry out a comprehensive inspection, we found the practice was not compliant with the regulation relating to good governance. Overall the practice was rated as requires improvement. They were rated as requires improvement for providing safe, effective, caring, responsive and well-led services.
On 4 April 2017 we carried out a second comprehensive inspection and found significant areas of concern and breaches of regulations. Overall Park Lane Practice was rated as inadequate and put in special measures. They were rated as requires improvement for providing safe, effective and caring services, and inadequate for providing responsive and well-led services. We issued a warning notice which covered the regulatory breaches we found relating to good governance, which the practice was required to correct.
The full reports on the January 2016 and April 2017 inspections can be found by selecting the ‘all reports’ link for Park Lane Practice on our website at www.cqc.org.uk.
This report covers the announced follow up comprehensive inspection we carried out at
Park Lane Practice on 6 February 2018 to review the actions taken by the practice to improve the quality of care and to confirm that the practice was meeting legal requirements.
This practice is now rated as Requires Improvements overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Requires improvement
Are services caring? – Requires improvement
Are services responsive? – Requires improvement
Are services well-led? - Inadequate
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Requires improvement
People with long-term conditions – Requires improvement
Families, children and young people – Requires improvement
Working age people (including those retired and students – Requires improvement
People whose circumstances may make them vulnerable – Requires improvement
People experiencing poor mental health (including people with dementia) - Requires improvement
At this inspection we found t
he practice had reviewed and revised many areas of the practice, particularly in relation to management and governance. However, there were still areas which needed to be addressed and some regulations which were not being met. For example:
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The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
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The practice system for conducting cervical screening tests was not in line with guidance. These issues had not been identified by management and governance processes.
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Although most patients felt positive about the service they received, the practice was below average for most of its satisfaction scores on consultations with GPs and nurses when compared to local and national averages. We also noted that many of these scores had fallen since the previous survey which we reported on in our previous inspection report.
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Patients found it difficult to use the appointment system.
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The practice had no clear plan to address feedback from patients or how they would use it to improve services.
The areas where the provider must make improvements as they are in breach of regulations are:
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Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
This service was placed in special measures in June 2017. Sufficient improvements have been made such that the practice is now rated as requires improvement overall. However, the service remains rated as inadequate for the provision of well-led services. The service will remain in Special Measures, be kept under review and if needed could be escalated to urgent enforcement action. Another comprehensive inspection will be conducted within six months to check the practice continues to improve.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice