Dr Helen Osborn Also known as Courtyard Surgery

Updated 24 May 2017

Dr Helen Osborn is the registered name of the practice more usually known as Courtyard Surgery. It is a small rural practice based in the village of West Lavington, on the edge of Salisbury Plain in Wiltshire. It is one of the practices within the Wiltshire Clinical Commissioning Group and has

approximately 2,650 patients. The building offers good facilities, including three consulting rooms, three treatments rooms, automatic door, self-check in appointment system, low level reception desk for wheelchair users and a toilet with access for people with disabilities.

The area the practice serves has low numbers of people from different cultural backgrounds although the practice had recognised an increased number of Polish people registering at the practice. It is in the low range for deprivation nationally. The practice has a higher than average patient population over 45 years old.

The practice provides a number of services and clinics for its patients including: childhood immunisations, family planning, minor surgery and a range of health lifestyle management and advice services, including; smoking cessation, careers clinic, asthma management, diabetes, heart disease and high blood pressure management.

The practice is owned and run by one full time female GP, supported by two part time salaried GPs, one male and one female. There is a nurse prescriber, a practice nurse, two health care assistants and an administrative and reception team of nine staff led by the practice administrator.

The practice is a teaching and training practice. (A teaching practice accepts provisionally registered doctors undertaking foundation training, while a training practice accepts qualified doctors training to become GPs who are known as registrars.) At the time of our inspection on 25 April 2017 they had one registrar working with them.

The practice is open between 8am and 12.30pm in the morning and 1.30pm to 6.30pm on weekdays, except on Fridays when they open until 8.00pm.

GP appointments are available 8.30am to 12.00pm every morning and 2.30pm to 6pm every weekday, except on Monday when appointments start at 8am. Extended hours appointments are offered from 6.30pm to 8pm on Friday. Appointments can be booked over the telephone, on line  or in person at the surgery. An alternative emergency number for the surgery is advertised on the practices website and in the patient leaflet. When the practice is closed patients are advised, via  the practice’s website that all calls will be directed to the out of hours service. Out of hours services are provided by Medvivo.   

The practice has a General Medical Services contract to deliver health care services. This contract acts as the basis for arrangements between NHS England and providers of general medical services in England.

The practice provides services from:

• 39 High Street, West Lavington, Devizes, Wiltshire, SN10 4JB

Updated 24 May 2017

Letter from the Chief Inspector of General Practice

On 14 September 2016 we carried out a comprehensive inspection at Dr Helen Osborn, which is also known as Courtyard Surgery. Overall the practice was rated as requires improvement. Specifically, the practice was found to be good for providing safe, caring and responsive services, and requires improvement for effective and well led. We told the practice they must:

• Ensure actions plans are completed for issues identified in infection control audits.
• The practice must ensure they use quality improvement methods, including clinical audit, to monitor quality and to make improvements within the practice and ensure that learning from these is appropriately discussed and shared with practice staff.
• The practice must keep records of all essential training received by staff.

Following the inspection the provider sent us an action plan that set out the changes they would make and subsequently supplied information to confirm they had completed the actions.

This focused desk based inspection was undertaken on 25 April 2017 to ensure that the practice was meeting the regulation previously breached. For this reason we have only rated the location for the key questions to which this related. This report should be read in conjunction with the full report of our inspection on 14 September 2016, which can be found on our website at www.cqc.org.uk .

The practice is now rated as good for the provision of effective and well-led services. The overall rating is now good. Our key findings were as follows:

• An infection control audit had been completed in January 2017 and an action plan set out follow up actions that had been completed.
• There had been four clinical audits completed since our inspection in September 2016.
• The practice had a planned schedule for audits and repeat audits.
• The practice was keeping records of all essential training received by staff.

The area where the provider should make improvement are:

• Review the practice system of meetings and communications to ensure they meet the regulatory requirements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 24 May 2017

We did not inspect the population groups as part of this inspection. However, the provider had resolved the concerns for effective and well-led services identified at our inspection on 14 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 24 May 2017

We did not inspect the population groups as part of this inspection. However, the provider had resolved the concerns for effective and well-led services identified at our inspection on 14 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 24 May 2017

We did not inspect the population groups as part of this inspection. However, the provider had resolved the concerns for effective and well-led services identified at our inspection on 14 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 24 May 2017

We did not inspect the population groups as part of this inspection. However, the provider had resolved the concerns for effective and well-led services identified at our inspection on 14 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 24 May 2017

We did not inspect the population groups as part of this inspection. However, the provider had resolved the concerns for effective and well-led services identified at our inspection on 14 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 24 May 2017

We did not inspect the population groups as part of this inspection. However, the provider had resolved the concerns for effective and well-led services identified at our inspection on 14 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.