Grovelands Medical Centre Also known as Dr D.A. Riley & Partners

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with external agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The practice supported a care home within the area. Feedback from people using the service was positive. The feedback from the care home manager suggested the residents and families felt involved in any assessment of their needs and felt confident that staff understood their individual needs.

Staff working at the reception were aware of the needs of the local community and used digital flags within the care records system to highlight any specific individual needs, such as the requirement for longer appointments or for a translator to be present.

Staff checked people’s health, care, and wellbeing needs during health reviews.

Our clinical searches the provider had effective systems to identify people with previously undiagnosed conditions. Staff could refer people with social needs, such as those experiencing social isolation or housing difficulties, to a social prescriber.

Patient survey results from 2025 indicated, 94%of the respondents felt their needs were met during their last general practice appointment, in comparison to the national average of 90%.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. The remote clinical searches we undertook of the practice’s clinical records system included reviewing the monitoring of people with long-term conditions to assess if National Institute for Health and Care Excellence (NICE) recommendations were followed.

Patients with anticipatory care needs were reviewed based on national guidance. The provider worked in partnership with other service providers, to support people and their families with up-to-date evidence-based guidance.

The provider had introduced diabetes group consultation to improve efficiency and accessibility of annual diabetes reviews. Patients were able to complete multiple key reviews in a single coordinated session reducing need for multiple appointments. As a result, there was a significant increase in clinical capacity and review completion data. Data we reviewed indicated diabetes reviews completed in 2025 had increased to 267, in comparison to 124 competed in 2024, indicating improved long term condition management for the patients at the practice.

The service worked well across teams and services to support people. Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support.

The practice worked with other services to ensure continuity of care. Staff engaged in regular multi-disciplinary team (MDT) meetings with mental health, frailty, and children and young people teams.

We noted home visits and care packages were implemented to ensure patients’ wishes were followed and carried out in their final stages of life.

Referrals to other services were followed up to ensure that appointments were created for people in a timely manner, for example, when people were referred for suspected cancers.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. Patients were supported to live healthier lives and where possible, reduce their future needs for care and support.

Staff focussed on identifying risks to patients’ health, including those in the last 12 months of their lives, patients at risk of developing a long-term condition and those with caring responsibilities. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.

The provider worked collaboratively with other services to support a community wellness outreach programme, wherein patients with wider social and wellbeing needs were identified and supported through community based interventions. Patients referred through the practice received lifestyle advice and health monitoring through this initiative. Clinical data for the 146 patients engaged through this initiative demonstrated 56% patients showing improved blood pressure and 21% patients demonstrated improved weight management.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The practice met national targets for screening and immunisations. From the clinical notes we reviewed, we found that people who used the service experienced positive outcomes as set out in legislation, standards, and evidence-based clinical guidance.

The provider offered an innovative rapid diagnostic test designed to differentiate between viral and bacterial respiratory infections. The test supported antimicrobial stewardship by helping clinicians at the practice make informed prescribing decisions and reducing unnecessary antibiotic use. 52 patients underwent testing following urgent triage, and data we saw indicated 28% were not prescribed antibiotics. This demonstrated responsible antibiotic prescribing and continuous improvement of patient care.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded. Do not attempt cardiopulmonary resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation.

The availability of chaperones was displayed on posters in the practice. Staff who provided this service had completed chaperone training.