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Inspection Summary


Overall summary & rating

Good

Updated 5 April 2017

Letter from the Chief Inspector of General Practice

We carried out a focused desk based inspection of The Ridgeway Surgery on 20 February 2017 to check that action had been taken since our previous inspection on 24 November 2014. At the inspection in November 2014, the practice was rated as good overall but rated as requires improvement for providing safe services.

We found that the practice required improvement in this area due to areas of practice which needed to be addressed to ensure safe care and treatment. This was because the practice needed to:

  • Review the practices protocol and procedures as to what constitutes a significant event and how they are recorded and effectively managed by the practice.

  • Review the system for recording safeguarding information for vulnerable adults and children to

ensure that information is recorded consistently in patients’ records.

  • Ensure that the recruitment policy covers clinical staff and makes reference to all of the information required.

On 20 February 2017 we reviewed the information the practice submitted to us to ensure that they had followed their action plan and to confirm that they now met legal requirements. This report covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection of The Ridgeway Surgery on our website at www.cqc.org.uk.

Our key findings for this inspection were as follows:

The provider had made improvements:

  • The practice had reviewed their recruitment policy to include all of the information required to be obtained as required under Regulation 19, Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
  • They had reviewed the records for patients at risk and ensured safeguarding alerts were in entered on all records.
  • The practice had ensured that all significant events were entered through the significant event system to ensure they were managed appropriately and effectively.

The practice is now rated good for providing safe services.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 5 April 2017

The practice is now rated as good for providing safe services.

  • The practice had reviewed their recruitment policy to include all relevant checks as required by legislation and provided evidence to demonstrate this.
  • They had also reviewed the records of all patients at risk of harm to ensure alerts were entered on the clinical records to notify staff of the potential risk.
  • The practice had continued to record and investigate significant events and ensured that all significant events were included in the process. They submitted a summary log to demonstrate this.

Effective

Good

Updated 5 April 2017

Caring

Good

Updated 5 April 2017

Responsive

Good

Updated 5 April 2017

Well-led

Good

Updated 5 April 2017

Checks on specific services

People with long term conditions

Good

Updated 5 April 2017

The provider’s previous report rated the quality of services for people with long-term conditions as good at the previous inspection on 24 November 2014 therefore no change in rating was required.

Families, children and young people

Good

Updated 5 April 2017

The provider’s previous report rated the quality of services for families, children and young people as good at the previous inspection on 24 November 2014 therefore no change in rating was required.

Older people

Good

Updated 5 April 2017

The provider’s previous report rated the quality of services for older people as good at the previous inspection on 24 November 2014 therefore no change in rating was required.

Working age people (including those recently retired and students)

Good

Updated 5 April 2017

The provider’s previous report rated the quality of services for working age people (including those recently retired and students) as good at the previous inspection on 24 November 2014 therefore no change in rating was required.

People experiencing poor mental health (including people with dementia)

Good

Updated 5 April 2017

The provider’s previous report rated the quality of services people experiencing poor mental health (including people with dementia) as good at the previous inspection on 24 November 2014 therefore no change in rating was required.

People whose circumstances may make them vulnerable

Good

Updated 5 April 2017

The provider’s previous report rated the quality of services for people whose circumstances may make them vulnerable as good at the previous inspection on 24 November 2014 therefore no change in rating was required.