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