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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Riverside Surgery on 7 October 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients were treated with care, compassion, dignity and respect and they were involved in their care and decisions about their treatment. They were not rushed at appointments and full explanations of their treatment were given. They valued their practice.
• Information about services and how to complain was available.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with routine and urgent appointments available the same day.
• 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 proactively sought feedback from staff and patients, which it acted on.

There were areas where the provider could make improvements and they should ensure:

• That national patient safety and other relevant alerts and guidance is followed and actions taken recorded.
• That the procedures for storage of paper records meets health and safety and fire regulations in accordance with the Department of Health's code of Practice for Records Management (NHS Code of Practice 2006) and other relevant guidance about information security and governance.
• Informal and verbal complaints are recorded and analysed to learn lessons and improve the service.
• A current up to date infection prevention and control policy is implemented within the practice.
• Electronic systems for capturing data and information regarding at risk children and vulnerable adults are accurate.
• Staff are checked for suitability for their role at a level of check that is appropriate to their role including ensuring that staff who act as chaperones are appropriately trained and checked to undertake the role.
• Audits are completed cycles and disseminated widely throughout the practice to share learning

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice