Park House

Updated 8 August 2017

Park House provides primary care services to its registered list of approximately 3996 patients. The practice is situated and the inspection was conducted at 2 St Georges Road, Stoke, Coventry. The practice catchment area is classed as within the group of the fourth most deprived areas in England relative to other local authorities. For example, income deprivation affecting children was 28% compared to the national average of 20%. The practice has a General Medical Services (GMS) contract. A GMS contract is a contract between NHS England and general practices for delivering general medical services.

There are two GP partners, two regular GP locums, three are male and one female There are two practice nurses and are supported by a practice manager and administration staff.

The practice is located on two floors, the ground floor contains reception, waiting areas, consulting rooms, disabled toilet facilities and a treatment room, whilst the first floor contains administration offices. There is step free access into the building and access for those in wheelchairs or with pushchairs.

The practice was open between 8.30am and 6.30pm each day with the exception being Thursday when the practice closed at 12.30pm. The practice offers ‘open access’ meaning that patients could attend the practice without an appointment and be seen by a GP. There is however an option for appointments to be made. Surgery times are between 8.40am and 11.15am each morning and 4pm until 6pm each evening. We were also told that GPs would begin surgeries prior to 8.40am if there was patient need. The practice is closed at weekends.

The practice does not provide an out-of-hours service but has alternative arrangements in place for patients to be seen when the practice is closed. For example, if patients call the practice when it is closed, an answerphone message gives the telephone number they should ring depending on the circumstances. The practice uses the Coventry & WarwickshirePartnership Trust to provide this out-of-hours service to patients.

Updated 8 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Park House on 11 November 2016. The overall rating for the practice was good. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Park House on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 27 June 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 11 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice rating remains good and is unchanged following this inspection.

Our key findings were as follows:

• The practice had ensured procedures were in place for the proper and safe management of medicines. A controlled drugs register, appropriate vaccination stock control and audit were in place along with a procedure for monitoring and controlling the stock of other medicines.

• The practice had reviewed its processes to enable learning from significant events to be shared with all the practice team and documented.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 21 December 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators were above the national average. For example: the percentage of patients on the diabetes register, with a record of a foot examination and risk classification within the preceding 12 months (01/04/2014 to 31/03/2015) was 97% compared to the national average of 88%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 21 December 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• 76% of female patients aged 25-64 attended cervical screening within the target period compared with the national average of 82%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw examples of joint working with midwives, health visitors and school nurses.

Updated 21 December 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The practice kept up to date registers of patients’ health conditions and data reported nationally was that outcomes were comparable to that of other practices for conditions commonly found in older people.

• The practice provided clinics at a number of nearby care homes including a specialist dementia unit.

Updated 21 December 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 21 December 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 21 December 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people who were encourage to register the practice as a home address and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.