Archived: River Wey Medical Practice

We carried out an announced focused inspection at River Wey Medical Practice on 20 November 2019 as part of our inspection programme. We last inspected River Wey Medical Practice on 2 October 2014 when the practice was rated good overall.

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the Effective and Well led key questions. We did not check whether this practice was providing safe, caring and responsive services at this inspection because our monitoring of the practice indicated no significant change since the last inspection (October 2014).

The rating of Good for the key questions of Safe, Caring and Responsive, has been carried forward from the last inspection.

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 and good for all population groups.

We found that:

• Learning and development was promoted and provided for all staff.
• All staff at the practice were active in ensuring sustainable high quality care was provided to all patients.
• The practice was aware of areas of patient care requiring attention and had plans in place to manage these. For example, cervical screening uptake rates.
• The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
• Patient feedback was positive about the practice.

We found one area of outstanding practice:

• After a review of their childhood immunisations, the practice had recognised a poor uptake of nasal flu for two and three year olds. The practice arranged a teddy bear clinic to encourage children aged two and three to attend for their nasal flu vaccine. Children brought their teddy bears and the practice waiting room was arranged to be age appropriate with a child size table and chairs with drinks and snacks. The practice told us approximately 60 children attended to receive their nasal flu vaccine in one day which had improved their uptake rates from the previous year from 22% to 32%. The coverage would have been higher if more flu vaccine had been available for the clinic.

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

• Continue to monitor and improve cervical screening rates to achieve the NHS England 80% target.
• Develop a system for ensuring each cervical screening sample sent, receives a result.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care