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Riverhouse Medical Practice, London.

Riverhouse Medical Practice in London is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, services for everyone and treatment of disease, disorder or injury. The last inspection date here was 20th October 2016

Riverhouse Medical Practice is managed by Riverhouse Medical Practice.

Contact Details:

    Address:
      Riverhouse Medical Practice
      East Road
      London
      SW19 1YG
      United Kingdom
    Telephone:
      02085423105

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2016-10-20
    Last Published 2016-10-20

Local Authority:

    Merton

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

17th August 2016 - During an inspection to make sure that the improvements required had been made pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced focussed inspection of Riverhouse Medical Practice on 17 August 2016, overall the practice was rated as good.

We conducted this inspection following a comprehensive inspection on 10 December 2015 where breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were found. The practice was previously rated as inadequate for providing safe services, and requires improvement for providing responsive services and being well led; the population groups were all rated as requires improvement.

After the comprehensive inspection, the practice submitted an action plan, outlining what they would do to meet the legal requirements in relation to the breaches of:

  • Regulation 12 (Safe care and treatment);
  • Regulation 13 (Safeguarding services users from abuse and improper treatment)
  • Regulation 16 (Receiving and acting on complaints ); and
  • Regulation 17 (Good governance).

This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Riverhouse Medical Practice on our website at www.cqc.org.uk.

Our key findings across all the areas we inspected 

were as follows:

  • Systems were in place to keep patients safe and safeguarded from abuse.
  • Processes were in place to ensure that the administration of medicines was safe.
  • Information about how to complain was available and easy to understand. The practice recorded both written and verbal complaints, and improvements were made to the quality of care as a result of complaints and concerns.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Processes were in place to ensure that staff kept their knowledge and skills up to date.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

10th December 2015 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Riverhouse Medical Practice on 10 December 2015.  Overall the practice is rated as requires improvement.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events, however, policies were not always followed in the reporting of safeguarding concerns and the recording of complaints.

  • Risks to patients were assessed and well managed with the exception of those relating to safeguarding.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

  • Information about services and how to complain was available and easy to understand.

  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • The practice had a number of policies and procedures to govern activity, and whilst these were available to staff on the practice’s computer system, not all staff knew how to access them.

  • 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.

  • The provider was aware of and complied with the requirements of the Duty of Candour.

We saw  following areas of outstanding practice:

  • The practice liaised closely with leaders of the local muslim community, which allowed them to gather up-to-date information about current issues facing the community, such as FGM, and to promote social inclusion. In response to the needs of this community the practice ran educational drop-in sessions prior to Ramadan for diabetic patients in order to provide them with information about how to manage their diabetes whilst fasting. This was attended by around 30 patients in 2015.

The areas where the provider must make improvement are:

  • They must put in place the correct and up-to-date legal authorisations required for staff to carry out their roles safely.

  • They must ensure that all staff follow their safeguarding procedure and that all concerns about the welfare of vulnerable people are escalated appropriately.

  • They must ensure that all complaints, including those responded to verbally, are recorded.

  • They must ensure that any out-of-date medications and vaccines are promptly disposed of.

  • They must ensure that processes are put in place to monitor that all clinical staff receive medicines alerts and patient safety alerts.

In addition, the provider should:

  • Review their policy on the storage of prescription pads and ensure that this is followed by all staff.

Professor Steve Field

CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

 

 

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