The Care Quality Commission
  • Doctor
  • GP practice

Rycroft Primary Care Centre

Overall: Good read more about inspection ratings

Madeley Road, Havercroft, Wakefield, West Yorkshire, WF4 2QG (01226) 725555

Provided and run by:
White Rose Surgery

All Inspections

18 January 2024

During an inspection looking at part of the service

We carried out an announced assessment of Rycroft Primary Care Centre in relation to the responsive key question. This assessment was carried out on 18 January 2024 without a site visit. As the other domains were not reviewed during this assessment, the rating of good will be carried forward from the previous inspection and the overall rating of the service will remain Good.

Safe - ‘not inspected, rating of good carried forward from previous inspection’.

Effective – ‘not inspected, rating of good carried forward from previous inspection’.

Caring - ‘not inspected, rating of good carried forward from previous inspection’.

Responsive – Good

Well-led – ‘not inspected, rating of good carried forward from previous inspection’.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Rycroft Primary Care Centre on our website at www.cqc.org.uk

Why we carried out this inspection/review

We carried out this assessment as part of our work to understand how practices are working to try to meet demand for access and to better understand the experiences of people who use services and providers.

We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.

How we carried out the inspection/review

This assessment was carried out remotely.

This included:

  • Conducting staff interviews using video conferencing.
  • Requesting evidence from the provider.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we carried out the assessment
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We found that:

  • The practice understood the needs of its local population.
  • Patients could access care and treatment in a timely way.
  • National GP Patient Survey data was above local and national averages.
  • The provider had implemented initiatives to improve phone and appointment access and worked towards continuous improvement.
  • The provider was working with other local practices within its Primary Care Network to further improve access for patients.
  • The practice dealt with complaints in a timely manner and learned from them.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

07 September 2022

During a routine inspection

We carried out an announced comprehensive inspection at Rycroft Primary Care Centre on and 7 and 8 September 2022. Overall, the practice is rated as Good

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Following our previous inspection in September 2015, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Rycroft Primary Care Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this comprehensive inspection in line with our inspection priorities.

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:

  • Conducting some staff interviews using video/telephone conferencing.
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A site visit to both the main location and branch surgery.
  • Reviewing completed staff questionnaires.
  • Speaking with patients and reviewing their feedback.

Our findings

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 have rated this practice as Good overall

We found that:

  • There were systems in place to safeguard children and vulnerable adults from abuse. Staff we spoke with knew how to identify and report safeguarding concerns.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The management team ensured that care and treatment was delivered according to evidence-based guidelines.
  • The practice adjusted how services were delivered to meet the needs of patients during the COVID-19 pandemic.
  • There was a programme of quality improvement, this included clinical audit.
  • The practice supported staff development and was an accredited training practice for GP trainees.
  • The practice operated effective systems and processes to ensure good governance in accordance with the fundamental standards of care. We saw that performance monitoring was embedded within the practice.
  • The management team in the practice demonstrated they had the capacity and skills to deliver high-quality, sustainable care.
  • The practice hosted several staff from their Primary Care Network who delivered enhanced services.

We saw an area of outstanding practice:

  • Patients could be referred to an onsite gym staffed by a dedicated Primary Care Network funded health and wellbeing coach. The coach utilised a combination of exercise and/or talking therapies to support both practice patients and externally referred patients to make improvements in their physical and mental health. The gym operated at no cost to patients.

Whilst we found no breaches of regulations, the provider should:

  • Make improvements to increase the uptake of cervical screening and child immunisations.
  • Formalise clinical supervision practices for non-medical prescribers.
  • Raise awareness amongst staff regarding the role of the Freedom to Speak Up Guardian, and how to contact them.
  • Complete the identified improvements to the dispensary.
  • Improve processes for the assessment of medicines safety alerts and updates to ensure that necessary actions are undertaken.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

3 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rycroft Primary Care Centre on 3 September 2015. Overall the practice is rated as good for providing safe, effective, caring, responsive and well-led care for all of the population groups it serves. We specifically found the practice to be outstanding for providing services to people with long term conditions.

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

  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles.
  • Staff understood and fulfilled their responsibilities to raise concerns and to report incidents, near misses and any identified safeguarding issues. There was a clear leadership structure and staff felt supported.
  • Risks to patients were assessed and well managed.
  • The practice had good facilities and was well equipped to treat and meet the needs of patients.
  • Information about services and how to complain was available and easy to understand.
  • Urgent appointments were available for patients the same day as requested, although not necessarily with a GP of their choice.
  • Patients said they were treated with compassion, dignity and respect and were involved in care and decisions about their treatment.
  • The practice sought patient views how improvements could be made to the service, through the use of patient surveys, the NHS Friends and Family test and the patient participation group.

We saw several areas of outstanding practice:

  • The practice routinely screened for chronic obstructive pulmonary disease (COPD) in all patients who were smokers and aged 40 and above; irrespective of any apparent symptoms. This had resulted in a higher than average prevalence of COPD for the practice. As a result of these interventions the practice could evidence a 26% reduction in COPD related hospital admissions, in the previous 12 months.
  • The practice had an in-house smoking cessation service which was facilitated by a trained member of staff. Through interventions and support offered they could evidence the number of quitters over the past 12 months. This had resulted in a 16% reduction of registered smokers.
  • There was a fully equipped gym located in the practice, with qualified gym instructors to assist patients in improving their mobility, managing body weight and maintaining a healthy lifestyle. This was available to all patients who were registered with the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice