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Archived: Riverside Medical Practice Good

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Reports


Inspection carried out on 04/09/2019

During an inspection looking at part of the service

We carried out an announced focused inspection at Riverside Medical Practice on 4 September 2019 due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: Effective and Well-Led. Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Safe, Caring and Responsive.

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 previously carried out a comprehensive inspection at Riverside Medical Practice on 19 November 2014. The overall rating was good and all five key areas were rated good. The report on the November 2014 inspection can be found by selecting the ‘all reports’ link for Riverside Medical Practice on our website at www.cqc.org.uk

We have rated this practice as good overall and good for all population groups.

  • The practice understood the needs of its population and tailored services in response to those needs.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was planned and delivered according to evidence-based guidelines.
  • Staff had the skills, knowledge and experience to deliver effective care, support and treatment and worked together and with other organisations to deliver effective care and treatment.
  • Audits demonstrated quality improvement.
  • Patients were treated with compassion, dignity and respect and were involved in their care and any decisions about their treatment.
  • Staff felt valued, proud to work at the practice and well supported by the management team.
  • Staff were supported in their roles and with their professional development.
  • The practice had an established patient participation group to proactively seek feedback from patients.
  • There was compassionate, inclusive and effective leadership. Leaders were visible and approachable and understood the strengths and challenges of the services provided.
  • The practice acknowledged that the facilities currently provided no longer met the needs of the practice population. Plans for the practice to move from its current site to a purpose-built practice offering modern facilities and double the consulting rooms a short distance away had recently been approved and building work had commenced and was scheduled to be completed by June 2020.

We saw the following outstanding practice:

  • The practice had employed a full-time prescribing mental health nurse practitioner to help improve the mental health provision available for patients aged 14 and over. They provided prompt access for patients with mental health needs and carried out structured annual mental health reviews including dementia and learning disability health checks. They also provided support for patients with insomnia and addiction and provided home visiting options to agoraphobic patients and other vulnerable patients.

The areas where the provider should make improvements are:

  • Ensure information about the practice and how to make a complaint is readily accessible.
  • Ensure all staff complete outstanding essential training.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of General Practice

Inspection carried out on 19 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on 19 November 2014 as part of our new comprehensive inspection programme.

The overall rating for this practice is good. We found the practice to be good in safe, effective, caring, responsive and well led areas. We found the practice provided good care for older people, patients with long term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health, including dementia.

Our key findings were as follows:

  • Patients were kept safe because there were arrangements in place for staff to report and learn from key safety risks. The practice had a system in place for reporting, recording and monitoring significant events over time.
  • Patients’ needs were assessed and care was planned and delivered in line with current legislation. The practice had a strong commitment to the on-going development of skills, competence and knowledge of all staff to achieve good outcomes for patients.
  • Patients felt they were treated with compassion, dignity and respect. They told us that GPs were good at listening to them and gave them enough time.
  • The practice had a well-established and well trained team who had expertise and experience in a wide range of health conditions.
  • There was a transparent and inclusive culture at the practice which encouraged contributions from staff and patients in the development of the service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 31 October 2013

During a routine inspection

The practice had introduced a new computer system the day before our inspection. To enable staff training, the practice had reduced the number of advanced booked appointments available for the day of our inspection. Any patient needing an urgent appointment was still able to see a doctor.

We spoke with six patients during our inspection. All the patients we spoke with were very satisfied with the service they received at the practice. One patient told us, �It�s brilliant here.� Another patient said, �It�s a good place. It�s friendly and caring�.

We saw that patients� views and experiences were taken into account in the way the service was provided. We also saw that the practice had policies and procedures in place to help protect patients� privacy and dignity. The staff we spoke with were familiar with the procedures.

We found that care and treatment was planned and delivered in a way that met patients� needs and protected their rights. Patients were able to be involved in decisions about their treatment.

Patients received their treatment in a clean, hygienic environment. The provider had suitable arrangements in place to ensure patients were not placed at risk of cross infection.

We were satisfied that the provider made all the appropriate checks on staff before their full employment started.

The practice had a well-publicised complaints system and we saw that complaints were dealt with appropriately.