The Care Quality Commission
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  • GP practice

Archived: Dr Patrick Ryder Also known as Matthew Ryder Clinic

Overall: Good read more about inspection ratings

20 Dingle Road, Upholland, Skelmersdale, Lancashire, WN8 0EN (01695) 624042

Provided and run by:
Dr Patrick Ryder

Important: The provider of this service changed. See new profile

All Inspections

1 March 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Patrick Ryder (also known as Matthew Ryder Clinic) on 24 June 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 24 June 2016 inspection can be found by selecting the ‘all reports’ link for Dr Patrick Ryder on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 1 March 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 24 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:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Significant events were investigated thoroughly and learning effectively implemented as a result.

  • However, we did note the practice continued to differentiate between significant events and incidents, and documentation around incidents was not always sufficiently comprehensive and did not consistently record learning outcomes.

  • We saw comprehensive systems around infection prevention and control had been implemented and an infection control audit completed. This audit had generated an action plan which was being monitored regularly to ensure it was completed in a timely manner.

  • Regular staff meetings were held in order to ensure changes to practice and learning from significant events were communicated to the wider practice team.

  • The practice held a register of carers and had updated its new patient registration form to better facilitate the identification of patients with caring responsibilities.

  • We saw that confidential information was stored securely and all staff had undertaken information governance training.

  • Arrangements for the storage of vaccines were thorough and ensured the cold chain was maintained.

There were areas of practice where the provider needs to make further improvements.

The provider should:

  • Implement record keeping systems to ensure that documentation relating to events categorised as ‘incidents’ clearly and consistently records learning outcomes and any changes to practice as a result in order to maximise learning opportunities.

  • Ensure policy document control processes are thoroughly implemented so that policies and procedures are kept up to date and fully reflect practice activity.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

24th June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr P Ryder (also known as the Matthew Ryder Clinic) on 24th June 2016.

The practice is rated as requires improvement for safe and well led and is therefore rated overall as Requires Improvement.

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

  • There was an open and transparent approach to safety however we found that a number of incidents were not reported as significant events.

  • Risks to patients were generally assessed and managed however more emphasis on infection control within the environment was required.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about the services provided and how to complain was available in the practice leaflet and was easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with the GP and there was continuity of care, with most urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

  • The practice used a holistic assessment of frailty as part of its over 75 check and provided a regular home visiting service to those who had mobility problems. They worked with both social services and voluntary agencies to ensure that socially isolated patients were supported.This work had been shared with other practices at a CCG meeting.

The practice must make the following improvements:-

  • Establish a more robust system to identify, record ,analyse and take action following significant events.

  • Carry out an infection control audit and make any identified improvements including scheduled cleaning of the curtains and blinds.

  • Establish a robust system of clinical and information governance which protects the safety of patients and improves communication in the practice.

  • Ensure appropriate recruitment checks are completed for all staff.

The practice should make the following improvements:-

  • Lowering the threshold for analysis of serious events and accidents to ensure patterns are identified,appropriate action taken and learning outcomes shared.

  • Completing full cycle clinical audits to confirm that any changes in care and treatments being implemented were effective and learning outcomes recorded.

  • Ensure more effective monitoring and storage of vaccines

  • Review security arrangements so the patient information is fully protected.

  • Ensure a register identifies all carers so that they are supported appropriately and included in any relevant initiatives.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice