Background to this inspection
Updated
14 July 2017
The Riley House Surgery practice is located in Enfield, North London within the NHS Enfield Clinical Commissioning Group. The practice holds a Personal Medical Services contract (an agreement between NHS England and general practices for delivering primary care services to local communities). The practice provides a full range of enhanced services including alcohol support, childhood vaccination and immunisation, extended hours access, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal, minor surgery, risk profiling and case management, Rotavirus and Shingles Immunisation and unplanned admissions. The practice is registered with the Care Quality Commission to carry on the regulated activities of treatment of disease, disorder or injury, diagnostic and screening procedures, surgical procedures, maternity and midwifery services and family planning.
The practice had a patient list size of approximately 9,098 at the time of our inspection.
The staff team at the practice included two GP partners (one female, one male), two salaried GP (males), two GP locums (males), one practice manager and three practice nurses (two female, one male). The practice had 12 administrative staff. There are 28 GP sessions and 28 nurse sessions available per week.
The practices opening hours are:
Appointments are available at the following times:
Outside of these times patients are advised to phone 111 for medical advice. To assist patients in accessing the service there is an online booking system, and a text message reminder service for scheduled appointments. Urgent appointments are available daily and GPs also complete telephone consultations for patients.
Updated
14 July 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Riley House Surgery on 2 June 2016. The overall rating for the practice was requires improvement, specifically the practice were rated requires improvement for providing safe, effective and caring services. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Riley House Surgery on our website at www.cqc.org.uk.
The practice submitted an action plan shortly after the 2016 inspection outlining how it intended meeting the regulations.
This inspection was a focused inspection carried out on 13 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 2 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good
Our key findings were as follows:
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Patient Group Directions were in place in place for appropriate staff.
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The practice had improved their recruitment procedures and were able to provide evidence that the new procedures were followed for new members of staff.
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All staff at the practice had been appraised; the practice kept a log of upcoming appraisal dates to ensure staff were appraised annually.
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The practice put a focus on identifying carers and increased the carers register to more than one percent of the patient population.
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The practice had systems in place to manage significant events and complaints; the practice were able to evidence that complaints and significant events were investigated and lessons were learned.
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The practice had a comprehensive system in place for infection control audits including an audit checklist, a set of practice specific infection control audit forms, a detailed action plan with named leads deadlines and progress updates and an annual infection control statement that reported the findings.
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The practice had appropriate levels of emergency supplies and medicines. The practice had a system in place for checking stocks of emergency medicines and staff at the practice knew where to access all emergency supplies.
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The practice survey 100 patients on a monthly basis to evaluate progress on improving patient satisfaction.
However, there was one area of practice where the provider needs to make an improvement.
The provider should:
At our previous inspection on 2 June 2016, we rated the practice as requires improvement for providing safe, effective and caring services. At the inspection on 2 June 2016 we found that not all non-medical prescribers had Patient Group Directions in place, not all staff had been through appropriate recruitment checks and not all staff had been appraised on an annual basis. At this inspection we found that there were Patient Group Directions in place for all non-medical prescribers, the practice had updated the recruitment process and were able to evidence this process was followed for new members of staff and we found that all staff had been appraised. Additionally, the practice had improved the system for managing staff appraisals and training. Consequently, the practice is now rated good for providing safe, effective and caring services.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
14 July 2017
The provider had resolved the concerns for safety, effectiveness and caring identified at our inspection on 2 June 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Families, children and young people
Updated
14 July 2017
The provider had resolved the concerns for safety, effectiveness and caring identified at our inspection on 2 June 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Updated
14 July 2017
The provider had resolved the concerns for safety, effectiveness and caring identified at our inspection on 2 June 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Working age people (including those recently retired and students)
Updated
14 July 2017
The provider had resolved the concerns for safety, effectiveness and caring identified at our inspection on 2 June 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People experiencing poor mental health (including people with dementia)
Updated
14 July 2017
The provider had resolved the concerns for safety, effectiveness and caring identified at our inspection on 2 June 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People whose circumstances may make them vulnerable
Updated
14 July 2017
The provider had resolved the concerns for safety, effectiveness and caring identified at our inspection on 2 June 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.