Background to this inspection
Updated
12 December 2018
The Ryan Medical Centre is located on St. Mary’s Road in Bamber Bridge, Preston at PR5 6JD. The practice is part of the NHS Chorley and South Ribble Clinical Commissioning Group (CCG) and all services are provided under a general medical service (GMS) contract. Information on services offered can be found on the practice website at www.ryanmedicalcentre.co.uk.
The practice is housed in a purpose-built modern building that is accessible to people with disabilities. There is parking available for patients, both at the premises and on adjoining roads and the practice is easily accessible by public transport.
The practice provides services to approximately 10,402 registered patients. The practice patient population over the age of 65 is higher (22.4%) than the CCG and England average at 19.4% and 17.1% respectively. The patient population for the over 75s is also higher than the CCG and England averages. There are more patients with long-standing health conditions (58.9%) than the local average of 56.1% and the national average of 53.7%.
Information published by Public Health England rates the level of deprivation within the practice population group as seven on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.
The practice clinical team is made up of four GP partners (three male, one female), and three female salaried GPs. The practice also has three practice nurses, one of whom is a nurse prescriber and two health care assistants. Together with two other local practices, the practice also funds the appointment of an advanced nurse practitioner, shared between the practices. The practice administration team is led by the practice manager assisted by staff with lead roles within the team. The practice participates in the training of new GPs and is a teaching practice for medical students.
When the practice is closed, a telephone voicemail service directs patients to dial NHS 111 for advice and if necessary, onward referral to the out of hours service provided locally by GoToDoc.
The practice is registered with CQC to provide maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities.
Updated
12 December 2018
This practice is rated as Good overall. (Previous rating 18 August 2015 – Good)
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? - Good
We carried out an announced comprehensive inspection at The Ryan Medical Centre on 9 November 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
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.
- There was a clear management structure in place and staff had lead roles in all areas of practice service provision.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Feedback from patients was consistently positive about the quality of care and treatment offered by the practice.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation. The practice participated in the training of new GPs and was a teaching practice for medical students.
We saw two areas of outstanding practice:
- One of the GPs had worked to develop a local social prescribing directory. This included churches and community centres, activities and sports, women’s services, libraries, friendship and social groups, baby and toddler groups, support for minority groups, young people’s services and an index of relevant resources available. Staff and GPs used it to signpost patients to relevant services and planned to make it freely available to patients.
- The practice introduced new systems, such as the management of post and a ‘care navigation’ system after careful, considered planning and comprehensive staff training. These systems were reviewed and audited by GPs on an ongoing basis to ensure they worked safely and effectively as intended.
The areas where the provider should make improvements are:
- Review the practice register of patients who are carers to ensure it is correct.
- Continue to monitor loose prescriptions in the practice.
- Improve the review of actions taken as a result of serious incidents and allow for actions taken as a result of safety alerts to be centrally recorded.
- Develop a management overview of clinical staff training.
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.