Drs Grey, Lodge & Mrs Draco Also known as Riverside Surgery

Updated 25 May 2018

Drs Williams, Selby, Johnstone & Where is located in a purpose built medical centre, in Rock Ferry. The registered provider of services is the partnership Drs Williams, Selby, Johnstone & Where. They provide a range of GP services to local residents under an NHS general medical services (GMS) contract.

The practice has a patient list size of 7,760 and is located in a deprived area. There is an independent chemist attached to the health centre. Out of hours services are accessed by calling NHS 111.

The practice has four GPs (one female and three male), a nurse practitioner, three practice nurses, one healthcare assistant, a practice manager and a range of administration and reception staff.

They are registered to provide the following regulated activities:

Diagnostic and screening procedures

Family planning

Maternity and midwifery services

Surgical procedures

Treatment of disease, disorder or injury

Updated 25 May 2018

This practice is rated as Good overall. (Previous inspection October 2015– Good)

The key questions 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 Drs Williams, Selby, Johnstone & Where (Riverside Surgery) on 24 April 2018 as part of our inspection programme.

At this inspection we found:

• The practice had 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.
• There were systems in place to mitigate safety risks including health and safety, infection control and dealing with safeguarding.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice sought patient views about improvements that could be made to the service; including having an active patient participation group (PPG) and acted, where possible, on feedback.
• Staff worked well together as a team, knew their patients well and all felt supported to carry out their roles.
• The provider was aware of the requirements of the duty of candour.

The areas where the provider should make improvements are:

• Review the staff training plan and matrix, to reflect required training and development needs and to ensure training is monitored so that all staff are appropriately trained.
• Review the implementation of the safeguarding policies so that staff are aware of the up to date policies, procedures and guidance contained within them.
• Review the implementation of the cold chain policy to ensure staff are fully trained and aware of the procedures to be followed including documenting anomalies in the temperatures.
• Review meeting minutes so that clear detail is documented particularly for significant events and complaints and enables good communication throughout the practice.
• Review audits to include an annual program/plan of audits based on local, national and service priorities.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018

Updated 25 May 2018