The Ryan Medical Centre

This practice is rated as Good overall. (Previous rating 18 August 2015 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at The Ryan Medical Centre on 9 November 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• There was a clear management structure in place and staff had lead roles in all areas of practice service provision.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Feedback from patients was consistently positive about the quality of care and treatment offered by the practice.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. The practice participated in the training of new GPs and was a teaching practice for medical students.

We saw two areas of outstanding practice:

• One of the GPs had worked to develop a local social prescribing directory. This included churches and community centres, activities and sports, women’s services, libraries, friendship and social groups, baby and toddler groups, support for minority groups, young people’s services and an index of relevant resources available. Staff and GPs used it to signpost patients to relevant services and planned to make it freely available to patients.
• The practice introduced new systems, such as the management of post and a ‘care navigation’ system after careful, considered planning and comprehensive staff training. These systems were reviewed and audited by GPs on an ongoing basis to ensure they worked safely and effectively as intended.

The areas where the provider should make improvements are:

• Review the practice register of patients who are carers to ensure it is correct.
• Continue to monitor loose prescriptions in the practice.
• Improve the review of actions taken as a result of serious incidents and allow for actions taken as a result of safety alerts to be centrally recorded.
• Develop a management overview of clinical staff training.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.