The Care Quality Commission
  • Doctor
  • GP practice

Parcliffe Medical Centre

Overall: Good read more about inspection ratings

Durham Avenue, Lytham St. Annes, FY8 2EP (01253) 955688

Provided and run by:
Parcliffe Medical Centre

Important: The provider of this service changed. See old profile

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Parcliffe Medical Centre 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 Parcliffe Medical Centre, you can give feedback on this service.

21 September 2022

During an inspection looking at part of the service

We previously carried out an announced comprehensive inspection at Parcliffe Medical Centre on 06 April 2022 as part of our inspection programme. We rated the practice as requires improvement for providing safe services and good overall.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Parcliffe Medical Centre on our website at www.cqc.org.uk

At our inspection in April 2022, we rated the practice as requires improvement for providing safe services because:

  • The practice did not have safe and effective systems and processes to recruit staff.

Why we carried out this review

We carried out a focused desk-based review of Parcliffe Medical Centre on 21 September 2022. This review was undertaken to determine whether the breach of Regulation 19 (Fit and Proper Persons Employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 identified at our last inspection had been addressed.

For this review, we focused on the key question of Safe which we rated as requires improvement in April 2022.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.

This review was carried out remotely with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Requesting evidence from the provider
  • Further communications for clarification

Our findings

At this inspection we found the provider had satisfactorily addressed the legal requirement and some suggestions for improvements.

We have rated this practice as Good for providing safe services.

We found that:

  • Recruitment procedures had been established to ensure only fit and proper persons were employed. This provided assurance that staff employed at the practice had been recruited in a safe way. We also reviewed the recruitment files for a number of staff who had commenced employment at the practice since our last inspection, and found all relevant pre-employment checks had been completed as required by the regulations.

The provider also informed us that that improvements had been made to:

  • The reviewing and coding of diabetic patients to ensure the management of patients on high-risk drugs is completed in accordance with recommended best practice guidelines;
  • Supporting staff to complete outstanding training including basic life support and sepsis training.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

06 April 2022

During a routine inspection

We carried out an announced inspection at Parcliffe Medical Centre on 6th April 2022. Overall the practice is rated as Good.

The key question ratings are as follows:

Safe - Requires improvement

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

This is the first time this practice has been inspected under its current CQC registration.

Why we carried out this inspection

This inspection was a comprehensive inspection to check the provider was complying with the regulations under the Health and Social Care Act 2008. We inspected all five key questions to determine if the service is safe, effective, caring, responsive and well led.

We undertook this inspection at the same time as CQC inspected a range of urgent and emergency care services in Lancashire and South Cumbria. To understand the experience of GP Providers and people who use GP services, we asked a range of questions in relation to urgent and emergency care. The responses we received have been used to inform and support system wide feedback.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included

  • Conducting staff interviews remotely using video conferencing
  • Speaking with the PPG chair remotely via the telephone
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A shorter site visit
  • Further communications for clarification

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall

We found that:

  • People who used the service were protected from avoidable harm and abuse however legal requirements in relation to recruitment of staff were sometimes not met.
  • Patients received effective care and treatment that met their needs although the coding of diabetic patients and monitoring of high-risk medicines was in need of review for some patients.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • The practice had identified areas for improvement and developed action plans to ensure the delivery of high-quality, person-centred care.

We found one breach of regulations. The provider must:

  • Ensure that recruitment procedures are established and operated effectively to help ensure that only fit and proper persons are employed.

Whilst we found no breaches of regulations, the provider should:

  • Review the coding of diabetic patients and ensure the management of patients on high-risk drugs is being completed in accordance with recommended best practice guidelines.
  • Support staff to complete outstanding training as identified on practice training records.
  • Formalise systems to monitor the prescribing competence of staff employed in advanced clinical practice.
  • Ensure infection control processes are maintained, with completed immunisation records for all staff.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care