Archived: Dr Patrick Ryder Also known as Matthew Ryder Clinic

Updated 12 April 2017

Dr Patrick Ryder (also known as Matthew Ryder Clinic) is located in Upholland on the outskirts of Skelmersdale, Lancashire. The modern medical centre is near to the centre of the village. There is easy access to the building and disabled facilities are provided. There is a small car park serving the site. There is one GP supported by a regular locum GP. The GP is male and the locum doctor is female. There is a total of 1.0 whole time equivalent GPs available. There are two part time female nurses, two part time female phlebotomist/health care assistants and a part time medicines management coordinator. There is a part time practice manager and a team of administrative staff.

There is an in-house special interest in diabetes and in sports medicine.

The practice opening times are 8.30am until 6pm Monday, Wednesday, Thursday and Friday and 8.30am to 8pm Tuesday. Appointments are available 9am to 11am and 4pm to 5.50pm Monday, Tuesday and Wednesday, 9am to 11.30am Thursday and 9am to 11.30am and 3pm to 5.30pm Friday. There are extended opening hours from 6pm to 8pm on a Tuesday. Patients requiring a GP outside of normal working hours are advised to call Out of Hours West Lancashire Service (OWLS).

There are 2761 patients on the practice list. The majority of patients are white British with a high number of working age patients and families. Information published by Public Health England rates the level of deprivation within the practice population group as seven on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest . The practice holds a GMS contract with NHS England and is part of West Lancashire Clinical Commissioning Group (CCG).

This practice has been accredited as a GP training practice and has qualified doctors attached to it training to specialise in general practice and also offers placements to medical students.

Updated 12 April 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Patrick Ryder (also known as Matthew Ryder Clinic) on 24 June 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 24 June 2016 inspection can be found by selecting the ‘all reports’ link for Dr Patrick Ryder on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 1 March 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 24 June 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:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Significant events were investigated thoroughly and learning effectively implemented as a result.

• However, we did note the practice continued to differentiate between significant events and incidents, and documentation around incidents was not always sufficiently comprehensive and did not consistently record learning outcomes.

• We saw comprehensive systems around infection prevention and control had been implemented and an infection control audit completed. This audit had generated an action plan which was being monitored regularly to ensure it was completed in a timely manner.

• Regular staff meetings were held in order to ensure changes to practice and learning from significant events were communicated to the wider practice team.

• The practice held a register of carers and had updated its new patient registration form to better facilitate the identification of patients with caring responsibilities.

• We saw that confidential information was stored securely and all staff had undertaken information governance training.

• Arrangements for the storage of vaccines were thorough and ensured the cold chain was maintained.

There were areas of practice where the provider needs to make further improvements.

The provider should:

• Implement record keeping systems to ensure that documentation relating to events categorised as ‘incidents’ clearly and consistently records learning outcomes and any changes to practice as a result in order to maximise learning opportunities.

• Ensure policy document control processes are thoroughly implemented so that policies and procedures are kept up to date and fully reflect practice activity.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 12 April 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 24 June 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings relating to this population group can be found in the previous full comprehensive inspection report at http://www.cqc.org.uk/location/1-534564021/reports .

Updated 12 April 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 24 June 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings relating to this population group can be found in the previous full comprehensive inspection report at http://www.cqc.org.uk/location/1-534564021/reports .

Updated 12 April 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 24 June 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings relating to this population group can be found in the previous full comprehensive inspection report at http://www.cqc.org.uk/location/1-534564021/reports .

Updated 12 April 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 24 June 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings relating to this population group can be found in the previous full comprehensive inspection report at http://www.cqc.org.uk/location/1-534564021/reports .

Updated 12 April 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 24 June 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings relating to this population group can be found in the previous full comprehensive inspection report at http://www.cqc.org.uk/location/1-534564021/reports .

Updated 12 April 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 24 June 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings relating to this population group can be found in the previous full comprehensive inspection report at http://www.cqc.org.uk/location/1-534564021/reports .