This practice is rated as good overall.

The key questions 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 Rainworth Surgery on 17 April 2018. This inspection was undertaken following the partnership’s registration as a new provider with the Care Quality Commission (CQC) on 15 May 2017. The inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions 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 mostly had 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 needed to ensure that all appropriate events, including near misses, were reported to maximise learning opportunities.
• The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were mostly able to access care when they needed it. Patients provided positive feedback on the GP triage system which had been introduced in 2016.
• Staff appraisals were up to date and staff were encouraged and supported to develop their skills and enhance their role.
• The practice had a higher proportion of patients with a long-term condition and older patients. We saw that the practice achieved good outcomes for these patient groups, demonstrated for example by their performance on the Quality and Outcomes Framework (QOF).
• Staff told us that it was a good place to work and that they felt valued and supported. They said that GP partners and managers were visible and approachable.
• The practice had recently completed a demerge process with another GP practice, and we saw this had been managed well with no disruption to patients.
• The partnership had considered future succession planning arrangements for the practice. They worked with their Clinical Commissioning Group (CCG) to consider forward planning to meet the needs of their patients.
• Healthcare professionals who worked with the practice provided us with positive experiences about their interactions with the practice team and told us they were caring, responsive and patient focused.
• Staff had the skills, knowledge and experience to carry out their roles effectively although the practice was not able to easily evidence this by means of an up to date training matrix. The practice finance manager was working to update this.

The areas where the provider should make improvements are:

• Review the practice training programme and ensure that staff have completed the training modules required for their roles and updates are undertaken at specified intervals.
• Promote the uptake of incident reporting, including near misses and positive event reporting, to all team members.