This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Requires improvement

We carried out an announced comprehensive inspection at Ravensbury Park Medical Centre on 11 January 2017, when the service was provided by Dr Titus Keyamo. The overall rating for the practice was inadequate and multiple breaches in regulations were identified. The service was placed in special measures for six months. The practice received input from a number of organisations in this time to assist in improving the quality and the safety of the service.

We carried out an announced follow up comprehensive inspection on 26 September 2017 to review if improvements had been made. We found that whilst some improvements were made, there were insufficient improvements overall, such that the practice remained rated as inadequate and breaches in regulations were identified. Therefore, we took action in line with our enforcement procedures to prevent the provider from operating the service and we began the process to cancel the provider’s registration.

The service was registered under a new provider, Wide Way Surgery, in January 2018, to ensure that practice services could continue to be provided for patients. The practice received input and support to improve and develop the service under this provider. The service provider is now newly registered as Ravensbury Park Medical Centre, and under this arrangement, improvements are still supported by key partners from the previous provider.

This inspection is an announced comprehensive inspection carried out at Ravensbury Park Medical Centre on 18 September 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was carried out in line with our next phase inspection programme.

At this inspection we found:

• The practice had clear 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.
• 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.
• The practice understood the needs of its population and tailored services in response to those needs.
• Most patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a renewed focus on continuous learning and improvement, however governance and communication arrangements required a review to ensure quality improvements could be sustained across the organisation.
  

The areas where the provider must make improvements as they are in breach of regulations are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

The areas where the provider should make improvements are:

• Review and act on performance data, specifically related to patients with high blood pressure, including those with diabetes.
• Review systems used to identify carers in order to further expand the carers’ register.
• Monitor the vision for the leadership and management structure to ensure quality can be sustained long-term.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.