Parkside Surgery

Background to this inspection

Updated 24 April 2017

Parkside surgery provides primary medical services to approximately 9740 patients through a primary medical services contract (PMS).

The practice is located within Alfreton Primary Care Centre(a purpose built premises) and has been providing services from its current location since 2007. A range of multi-disciplinary professionals are based within the health centre and this includes health visitors, district nurses, audiology, retinal screening, podiatry and dental service.

The level of deprivation within the practice population is in line with the national average with the practice population falling into the fifth most deprived decile. Income deprivation affecting children and older people is also in line with local and national averages.

The clinical team comprises three GP partners (male), four salaried GPs (two female and two male), a GP registrar, two advanced nurse practitioners, a prescribing nurse, two practice nurses, a healthcare assistant, and a clinical pharmacist.

Parkside surgery is a training practice for GP registrars and nursing students. The clinical team is supported by a practice manager, IT manager, a team of secretarial, reception and administrative staff. A care coordinator is attached to the practice and they are employed by Derbyshire community health services.

The practice opens from 8am to 6.30pm daily with the exception of Tuesday when the practice is open from 7.30am to 8pm. Consulting times are generally from 8am to 12.30am each morning and from 3.30pm to 6pm. Extended hours appointments are offered on Tuesday mornings from 7.30am to 8am and Tuesday evenings from 6.30pm to 8pm. The practice has opted out of providing out-of-hours services to its own patients. This service is provided by Derbyshire Health United (DHU) and is accessed via 111.

Overall inspection

Good

Updated 24 April 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Parkside surgery on 11 August 2016. The overall rating for the practice was good. The practice was rated as good in all domains except for the ‘safe’ domain which was rated as ‘requires improvement’. We found breaches of legal requirements(regulations) relating to the safe domain. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Parkside surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 3 April 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 August 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 good.

Our key findings were as follows:

The practice had an effective system in place to ensure that all medicines were in date.
The practice had a a secure storage system for blank prescription forms and pads and a comprehensive, safe and effective tracking system in place.
The practice had reviewed its staffing levels and skill mix to ensure that they met the needs of patients.
Our previous inspection highlighted that the practice should continue to strengthen the systems in place for recalling and reviewing patients to improve patient outcomes. Action had been taken to address this and we observed a satisfactory system was in place for recalling patients who did not attend their scheduled health review. The outcome of these changes were reflected in improved data from the Quality and Outcomes Framework.
The practice had identified a practice nurse to manage recalls for patients with a learning disability. This has resulted in an achievement of 87% attendance for a health review in the preceding 12 months.
We also found that practice had recently engaged with its practice population and involved eight local schools in producing a new logo for the practice. They had involved practice staff and the patient participation group (PPG) in selecting the winners and had presented the winners with a prize. In addition, each participating school was provided with an art pack.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice