Archived: Ryminster Healthcare

Updated 9 July 2021

Ryminster Healthcare main location operates from premises at Building 1 Charlesworth Court, Hotspur Park, Knights Way, Battlefield Shrewsbury SY1 3FB. The service has a branch site located at 8 Summerfield Road, Wolverhampton WV1 4PR.

The service is registered with the Care Quality Commission to provide the regulated activities: Diagnostic and screening procedures, Family planning services, Treatment of disease, disorder or injury and surgical procedures. It provides healthcare to adults over 18 years of age and consultations for children over one year old with a GP and/or paediatric consultants. The service does not carry out any minor surgery procedures for anyone under the age of 18. There is guidance in place for clinical staff regarding taking blood from children/young adults under the age of 18 years. The minimum age for taking bloods at the service is 18 but will take blood from young adults aged 16 to 17 only if a parent is present. The service will also only take blood from this age group if they are of sufficient size/build and are willing to have blood taken without the use of anaesthetic creams. Services are offered to individual patients who pay for their healthcare, but most of the service is provided under corporate healthcare and employment arrangements or medical insurance.

The provider offers consultations, travel vaccinations, sexual health services and health screening services. On average, the provider sees 50 patients a month. Healthcare provides consulting rooms, which are hired out by verified visiting healthcare professionals for the purpose of treatment of disease, disorder or injury. Consultants working at Ryminster Healthcare work under practising privileges. Accommodation and administrative services are provided to healthcare practitioners to provide the following services:

• Occupational health
• GP consultations
• Paediatric consultations
• Psychiatry
• Psychological interventions,
• Minor procedures

The clinical staff team consists of GPs, paediatric consultants, a general surgeon, a registered mental health nurse and health care assistants. Clinical staff are supported by administration and reception staff. The doctors have the appropriate General Medical Council registration. The service is supported by an administrative team of three staff, a practice manager, and two administrators.

How we inspected this service

Before the inspection, we looked at a range of information we held about the service. We carried out a remote focused inspection review. As part of this inspection process we spoke with the quality development manager who is also the registered manager for the service via online video.

We reviewed documentary evidence relating to the service, which the registered manager shared and sent to us via email. We needed to do this to corroborate the information provided during our video discussion with the manager to confirm that the breaches identified at the previous inspection had been addressed. The provider also shared the outcome of patient feedback detailing their experience of the services they received.

Updated 9 July 2021

This service is rated as Good overall.

We carried out a remote inspection review of Ryminster Healthcare on 26 May 2021.

We previously carried out an announced comprehensive inspection at Ryminster Healthcare on the 24 May 2018 as part of our inspection programme, the practice was not rated at this inspection. We carried out a further inspection on the 25 June 2019, the overall rating for the practice was good with requires improvement for providing well led services.

You can read the reports from our last inspections, by selecting the 'all reports' link for Ryminster Healthcare on our website at www.cqc.org.uk.

Why we carried out this inspection

This inspection was an announced focused inspection to confirm that the service had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection on 25 June 2019. The focus of this inspection was to review the well-led domain. We found that the practice had resolved the concerns raised and was rated as good for providing well led services. We carried forward the ratings for safe, effective, caring and responsive as the information we held did not indicate any changes to these ratings.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• A remote video interview with the Quality and Development Manager/Registered Manager for the service.
• Requesting evidence from the provider.

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.

Ryminster Healthcare is part of Ryminster Healthcare Limited. It provides private primary healthcare appointments to adults over 18 years of age and has arrangements in place for secondary referral to diagnostic and specialist services as appropriate.

The quality development manager is the registered manager for the service. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are “registered persons”. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• Systems were introduced to demonstrate that all safety alerts were received and acted on in a timely way.
• Documented consent was obtained for all treatments carried out at the service particularly where there may be a high risk of side effects.
• The service had introduced effective governance arrangements that assured the delivery of high quality care and treatment. For example, clinical audits were completed to monitor the outcomes and quality of services provided.
• The service had introduced systems for the documentation of clinical performance discussions held with clinical staff which supported the review of clinical consultations, prescribing and referral decisions.
• The service had reviewed the format of meetings to ensure a formal agenda was in place which included significant events as a standard agenda item and the documentation of more detailed minutes to demonstrate shared learning with staff.
• Patient feedback indicated that patients were very satisfied with the service.
• The provider was aware of and complied with the requirements of the ‘Duty of Candour’.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care