Dr Olajide Ijaola Also known as Riverside Surgery Tamworth

Updated 31 May 2017

Riverside Surgery is situated in the town centre of Tamworth. The practice was established in 1968 and operates from a converted building previously used as two residential properties. Tamworth is one of the largest towns in Staffordshire with a population of approximately 77,000. The area has pockets of deprivation but overall is in line with the national average. There is a large variation in the life expectancy dependent on the area in which patients live with the most deprived areas having a life expectancy of seven years less than the less deprived areas. The practice has a list size of 1554 patients which has been static for the past three years. The age profile is typical of a town centre practice with the percentage of patients under 65 years being higher and the percentage over 65 years lower than the national averages.

The practice has one full time GP working nine sessions per week. The GP is assisted by a clinical team consisting of an advanced nurse practitioner and a practice nurse. The administration team consists of a practice manager and one receptionist.

The practice is open from 8am to 6pm on a Monday, Tuesday, Wednesday and Friday and offers extended hours between 7am and 8am on a Wednesday morning. The practice is open from 8am to 2pm on a Thursday. Appointment times with the GP are available from 9am to 11.30am and 3pm to 5pm. The practice closes between 1pm and 2pm on a Monday, Tuesday, Wednesday and Friday. When the practice is closed patients are signposted to the NHS 111 service using a telephone message, leaflets and a poster in the waiting room. The GP provides patients with a mobile telephone number to be used on a Thursday afternoon after the practice has closed. The practice opted out of providing an out of hours service choosing instead to use a third party provider. The nearest hospitals with A&E units are situated at Good Hope Hospital, Sutton Coldfield and Queen’s Hospital in Burton-Upon-Trent. There is a minor injury unit at the Sir Robert Peel Hospital in Tamworth.

Updated 31 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Ijaola (Riverside Surgery Tamworth) on 15 February 2016. A breach of legal requirement was found and a requirement notice was served. The practice sent us an action plan to say what they would do to meet legal requirements in relation to:

• Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe care and treatment.

The overall rating for the practice was good and the full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for Dr Ijaola on our website at www.cqc.org.uk.

We visited the practice and undertook an announced focused inspection on 6 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in the regulation that we identified in our February 2016 inspection. This report only covers our findings in relation to those requirements and additional improvements made since our last inspection.

Overall the practice is rated as good and is now rated as good in the safe key question.

Our key findings were as follows:

• The practice had undertaken a risk assessment for legionella and monitoring checks had been completed.
• The prescription pads and forms were stored securely and a tracking system had been implemented to monitor their use.
• The practice had implemented an ‘employee health assessment form’ to check the physical and mental health of staff and an induction programme had been introduced for new staff.
• The practice evidenced through its improved Quality Outcomes Framework (QOF) scores that it had maximised the functionality of the computer system to coordinate patient care. In 2014/15 the practice achieved 74% of the total number of points available in 2014/15 (Clinical Commissioning Group (CCG) average 93%, national average of 94%). In 2015/16 the practice achieved 93% of the total number of points available in 2015/16 (CCG average 96%, national average of 95%).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 7 April 2016

The practice is rated as good for the care of people with long-term conditions. Patients were reviewed in nurse led chronic disease management clinics.  We found that the nursing staff had the knowledge, skills and competency to respond to the needs of patients with long term conditions such as diabetes and asthma. Longer appointments and home visits were available when needed and reviews were coordinated to minimise the required number of patient visits. Written management plans had been developed for patients with long term conditions and those at risk of hospital admissions. For those people with the most complex needs, the GPs worked informally with relevant health and social care professionals to deliver a multidisciplinary package of care. Minutes of the last meeting were July 2015 and there was a meeting scheduled for 17 February 2016. The practice used the gold standards framework (GSF) to provide end of life care. The practice had a palliative care register but told us that there were no palliative patients at the time of the inspection. A robust system to recall patients with a long term condition for a review had recently been implemented. 

Updated 7 April 2016

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children who were at risk, for example, children and young people who had protection plans in place. Appointments were available outside of school hours and the premises were suitable for children and babies. Same day emergency appointments were available for children. There were screening and vaccination programmes in place and the child immunisation rates were comparable with the local Clinical Commissioning Group averages. The practice worked with the health visiting team to encourage attendance. New mothers were offered post-natal checks and development checks for their babies.

Updated 7 April 2016

The practice is rated as good for the care of older people. Every patient over the age of 75 years had a named GP and all hospital admissions were reviewed. This included patients that resided in nursing and care homes.  The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, risk profiling and case management. All over 75 year olds had a completed care plan. The practice was responsive to the needs of older people and offered home visits and longer appointments as required. The practice had identified if patients were also carers.  

Updated 7 April 2016

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. A range of on-line services were available, including medication requests and booking appointments. Access to health medical records is planned for implementation at the end of March 2016. The practice had up to date summaries for 95% of their patients. The practice offered all patients aged 40 to 75 years old a health check with the nursing team. The practice offered a full range of health promotion and screening that reflected the needs for this age group.

Updated 7 April 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). Patients who presented with an acute mental health crisis were offered same day appointments. People experiencing poor mental health were offered an annual physical health check. Dementia screening was offered to patients identified in the at risk groups. It carried out advance care planning for patients with dementia.

The practice had regular communication with other health professionals in the case management of patients with mental health needs. No formal multi-disciplinary team meeting had been held since July 2015. There were 12 patients on the mental health register and regular informal communication with the community mental health team ensured care was coordinated. The practiced waiting room had information to signpost patients to local support services, for example, the Samaritans.

The practice also worked closely with the health visiting team to support mothers experiencing post-natal depression. It had told patients about how to access various support groups and voluntary organisations and signposted patients to support groups where appropriate.

Updated 7 April 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable. We found that the practice enabled all patients to access their GP services and assisted those with hearing and sight difficulties. There was no translation service but the practice told us that there had not been any patient requirement for this. The ethnicity data showed the practice to have a 97.3% white British patient population.

The practice held a register of patients with a learning disability and had developed individual care plans for each patient. Out of 26 patients on the learning disabilities, 21 had received an annual health check for the year ending 31 March 2016. Longer appointments were offered for patients with a learning disability.

The practice had a register of vulnerable patients and informed patients about how to access various support groups and voluntary organisations. For example the Carnegie centre in Tamworth, a centre which hosted a number of charitable and voluntary organisations such as Age UK. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.