The Care Quality Commission
  • Doctor
  • GP practice

Parklands Surgery

Overall: Good read more about inspection ratings

The Parklands Surgery, 4 Parklands Road, Chichester, West Sussex, PO19 3DT (01243) 782819

Provided and run by:
Parklands Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Parklands Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Parklands Surgery, you can give feedback on this service.

31 October 2019

During an annual regulatory review

We reviewed the information available to us about Parklands Surgery on 31 October 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

2 February 2017

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 Parklands Surgery on 17 May 2016. During this inspection we found breaches of legal requirement and the provider was rated as requires improvement under the safe domain. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Parklands Surgery on our website at www.cqc.org.uk. The practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

  • Ensuring that all significant events are fully recorded centrally at the practice to ensure a comprehensive audit trail is maintained.
  • Ensuring that clearly defined and embedded systems, processes and practices are in place to keep patients safe and safeguarded from abuse. Ensure that staff who are chaperones receive appropriate training.
  • Ensuring all staff receive safeguarding training appropriate to their role.
  • Ensuring that an assessment of cleanliness is regularly completed, and that cleaning undertaken is recorded and monitored, including that curtains and carpets are regularly cleaned. Ensure that actions from infection control audits are completed and recorded.
  • Ensuring the security and tracking of blank prescription forms at all times.
  • Ensuring that patients prescribed with high risk medicines are regularly monitored.
  • Ensuring that all Patient Specific Directions are recorded and completed correctly, in line with legislation.

Additionally we found that:

The practice needed to continue to:

  • Improve the pathways for the obtaining and dissemination of relevant and current evidence based guidance and standards, including National Institute for Health and Care Excellence (NICE) best practice guidelines.
  • Improve recording processes to ensure that the details of all care plans are retained by the practice to ensure care and treatment is monitored.
  • Ensure patients who are carers and who are cared for are pro-actively identified and supported.

This inspection was an announced focused inspection carried out on 2 February 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 17 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

  • We found that the practice had a comprehensive database in place to track, monitor and audit all significant events and alerts.
  • Since our last inspection staff identified as chaperones had undertaken training in this area. Safeguarding training had been delivered to all staff at appropriate levels.
  • Evidence was seen to confirm that curtains and carpets were regularly cleaned.
  • We saw evidence that medicine management practices were comprehensive and kept patients safe.
  • Care plans were in place and any follow up reviews were clearly recorded within the patient’s records.
  • Systems were in place to monitor and identify carers and their support needs. The practice had identified 156 carers and increase of 13 since our last inspection which is approximately 1.7% of the patient list.
  • The practice had developed systems to make NICE guidelines and best practice information more accessible. The practice had links on their computers to access these guidelines and the clinical commissioning group (CCG) clinical guidance pages.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

17 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Parklands Surgery on 17 May 2016. 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 a system in place for reporting significant events.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • All patients had a named GP and this enabled continuity of care. Patients said they found it easy to make an appointment, with urgent appointments available the same day. The patients we spoke with on the day of the inspection who told us they were happy with the care and treatment they received.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The practice had strong links with local practices and the clinical commissioning group and was heavily involved in research to make improvements to primary care.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • Most risks to patients were assessed and well managed. However, some systems and processes to address risks were not implemented well enough to ensure patients and staff were kept safe. This included the governance arrangements for safeguarding, prescription security and repeat prescribing, recording practices for significant events and care plans, and some aspects of cleanliness. Areas that we identified as concerns to the practice were acted on immediately.

The areas where the provider must make improvement are:

  • Ensure that all significant events are fully recorded centrally at the practice to ensure a comprehensive audit trail is maintained.
  • Ensure that clearly defined and embedded systems, processes and practices are in place to keep patients safe and safeguarded from abuse. Ensure that staff who are chaperones receive appropriate training and ensure that a comprehensive understanding of the role is demonstrated. Ensure all staff receive safeguarding training appropriate to their role.
  • Ensure that an assessment of cleanliness is regularly completed, and that cleaning undertaken is recorded and monitored, including that curtains and carpets are regularly cleaned. Ensure that actions from infection control audits are completed and recorded.
  • Improve policies and procedures to ensure the security and tracking of blank prescriptions at all times. Ensure that patients prescribed with high risk medicines are regularly monitored.
  • Ensure that all Patient Specific Directions are recorded and completed correctly, in line with legislation.

In addition the provider should:

  • Continue to improve the pathways for the obtaining and dissemination of relevant and current evidence based guidance and standards, including National Institute for Health and Care Excellence (NICE) best practice guidelines.
  • Improve recording processes to ensure that the details of all care plans are retained by the practice to ensure care and treatment is monitored.
  • Continue to monitor access to appointments, including the telephone system for patients.
  • Ensure patients who are carers and who are cared for are pro-actively identified and supported.
  • Formally document and communicate to all staff the practice governance, vision, strategy and supporting business plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

20 February 2014

During a routine inspection

We carried out this inspection to look at the care and welfare provided to patients by the staff at Parklands Surgery. During our visit we spoke with three patients and six members of staff, which included one GP and the new practice manager. We also collected nine responses to a questionnaire we left in the waiting area.

Patients told us that staff always asked for consent before providing any care or treatment. We found that staff were knowledgeable about consent and what to do if a patient lacked capacity.

We found that patients received care and treatment that met their needs. Patients told us 'They are very caring' and 'They are always helpful.'

Patients told us that they felt safe in the hands of staff at Parklands Surgery. When asked, we found that staff were aware of the safeguarding procedures within the practice.

We saw that staff had received regular training and appraisal and staff told us they felt supported by the practice.

We saw that the practice had a complaints procedure and that this was made available to patients. When asked, all but one patient told us that they had not ever had a reason to complain.