We carried out an announced inspection at Ragstone Road Surgery on 19 May 2021 to identify if improvements had been made following our previous inspection. Overall, the practice is rated as Good.
Ratings:
Safe - Good
Effective - Good
Caring – Good
Responsive - Good
Well-led - Good
We previously inspected Ragstone Road Surgery in March 2020 and rated the practice requires improvement. We issued requirement notices to the practice and requested an action plan for improvements.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Ragstone Road Surgery on our website at www.cqc.org.uk
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 included :
- Conducting staff interviews using video conferencing
- Requesting the practice to complete clinical searches on their patient records system and analysing these findings with the provider
- Reviewing patient records to identify issues and clarify actions taken by the provider
- Requesting evidence from the provider
- A full site visit
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 and good in five population groups, but requires improvement for the care of people with long term conditions.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- There had been improvements in the monitoring and delivery of patient care.
- There were systems to identify risks to patients and staff and these were managed to protect people.
- The practice was involved in the national programme of vaccinating the population against Covid-19 and had engaged with the local population to maximise uptake.
- During the pandemic there had been challenges caused by staff shielding and the impact of providing care in different ways.
- Access to services had been diversified to provide alternative means of accessing care for patients.
- Training was monitored and undertaken by staff to ensure they had the skills and knowledge to work with patients.
- There were improved governance structures to ensure quality improvements were made where required and that risks to patients were identified and acted on.
We found one breach of regulation. The provider must:
-
Ensure care and treatment is provided in a safe way for service users
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