- GP practice
Archived: Parkstone Tower Practice Also known as Dr Primavesi & Partners
Important:
The provider of this service changed. See new profile
All Inspections
28 November 2016
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Parkstone Health Centre on 16 September 2015. Overall the practice is 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 19 (fit and proper persons employed) of The Health and Social Care Act (Regulated Activities) Regulations 2014. The practice was rated as requires improvement for providing safe services.
We issued two requirement notices and informed the practice that they must make the following improvements:
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Ensure blank prescriptions are logged and tracked throughout the practice.
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Ensure vaccines are stored in a safe and secure way.
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Ensure patient group directions are authorised appropriately.
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Ensure recruitment arrangements include all necessary employment checks for all staff.
We carried out a focused follow inspection on 28 November 2016 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 December 2015. This can be done by selecting the 'all reports' link for Parkstone Health Centre on our website at www.cqc.org.uk.
Our key findings across all the areas which we inspected on 28 November 2016 were as follows:
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The practice had implemented a system to ensure all prescriptions were managed and tracked in accordance to current guidelines.
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Vaccines were now stored safely and securely.
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Patient group directions had been authorised appropriately.
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The practice had in place evidence of all relevant, required employment checks for all staff.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
16/09/2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Parkstone Health Centre on 16 September 2015. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- Information about services and how to complain was available and easy to understand.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- Risks to patients were assessed and managed, with the exception of those relating to medicines management and staff recruitment.
- There was a clear leadership structure and staff felt supported by management.
- The majority of patients said they were treated with compassion, dignity and respect. However, not all felt cared for, supported and listened to.
- Improvements to the quality of services identified from patient surveys and quality outcome tools had not been acted upon.
However there were areas o the practice where the provider needs to make improvements.
Importantly the provider must:
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Ensure recruitment arrangements include all necessary employment checks for all staff.
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Ensure prescriptions are logged and tracked throughout the practice.
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Ensure vaccines are stored in a safe and secure way.
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Ensure patient group directions are authorised appropriately.
In addition the provider should:
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Take action to address concerns about poor patient satisfaction.
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Ensure that governance arrangements are robust and include an assessment of risks and patient outcomes
Review the data and take action to address the higher than national and CCG average for the QOF exception percentage.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
6 June 2014
During a routine inspection
Parkstone Health Centre is part of the Dorset Clinical Commissioning group (CCG).
Parkstone Health Centre provides medical care to patients living in Parkstone and the surrounding areas of Poole. The GPs of Parkstone Health Centre are assisted by a team of nurses and administrative staff each day between the hours of 8am and 6.30pm. Outside normal surgery hours the emergency cover is provided by Dorset Emergency Care Service.
During our visit we spoke with six patients who were using the service. We also spoke with six GPs, a nurse, the nurse practitioner, the practice manager and five administrative staff.
Systems were in place which recognised and supported patients who were at risk of abuse. Relevant checks had been carried out for staff to work with vulnerable adults and children. There was appropriate equipment, medicines and procedures to manage patient emergencies. Staff were aware of policies and procedures in place for reporting serious events, accidents, errors, complaints and for safeguarding patients at risk of harm. Incidents were investigated and acted upon and any learning shared with staff to reduce or remove future risk.
Care was delivered in line with best practice. The practice had systems in place to ensure that the practice was monitored and ways for improving the service for patients were explored. The GPs worked with other healthcare providers to ensure that patients received effective care.
The practice was caring. Patients described the staff as helpful and friendly. Patients told us that they were involved in decisions about their treatment.
The services provided enabled patients to access the care they needed promptly and efficiently. Systems were in place to ensure patients’ views were listened to and feedback was acted upon. The practice had arrangements in place to ensure that it could meet the demand and needs of patients with minimal delay. Staff were aware of arrangements in place for responding to medical emergencies.
There was a clear leadership structure and processes were in place to keep staff informed. The GPs and practice manager met weekly to review complaints and significant events.. Staff told us they felt valued and well supported. They said they were able to give their views on any improvements. Patients gave positive feedback on the care provision of this practice.