• Doctor
  • GP practice

The Osmaston Surgery Also known as Dr I R Shand & Partners

Overall: Good read more about inspection ratings

212 Osmaston Road, Derby, Derbyshire, DE23 8JX (01332) 346433

Provided and run by:
The Osmaston Surgery

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Background to this inspection

Updated 11 July 2018

The Osmaston Surgery is registered with the Care Quality Commission (CQC) as a partnership. The practice is part of the NHS Southern Derbyshire Clinical Commissioning Group. The practice holds a General Medical Services (GMS) contract with NHS England. A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract.

The practice operates from The Osmaston Surgery, 212 Osmaston Road, Derby, DE23 8JX.

There are approximately 15,200 patients of various ages registered and cared for at the practice. Demographically the practice has a lower than average older patient distribution when compared with the Clinical Commissioning Group (CCG) and national averages. For example, 15% of the practice population are 65 years and older compared with the CCG average of 18% and the national average of 17%. The percentage of patients with a long-standing health condition is 58%, which is higher than the local CCG average of 53% and national average of 54%. The practice provides GP services in an area considered as one of the most deprived within its locality. Deprivation covers a broad range of issues and refers to unmet needs caused by a lack of resources of all kinds, not just financial.

The staffing consists of:

  • Nine GP partners (six male and 2 female) and three associate GPs (one female salaried and two male long term locums).
  • A nursing team consisting of five practice nurses (from July 2018), including one nurse who specialised in women’s health and a part time phlebotomist.
  • A practice pharmacist.
  • A management team which included a business service manager, a clinical service manager, assistant clinical service manager, practice administrators and reception staff.
  • A care co-ordinator (employed by the clinical commissioning group) for social prescribing signposting patients and relatives to appropriate services.

Telephone consultations are available to suit the needs of the patient. Cover to patients in the out-of-hours period is provided by Derbyshire Health United, by calling NHS 111.

The practice offers a range of services for example, management of long term conditions such as diabetes, contraceptive advice, immunisations for children and travel vaccinations. Further details can be found by accessing the practice’s website at .

Overall inspection

Good

Updated 11 July 2018

We carried out an announced comprehensive inspection at The Osmaston Surgery on 12 February 2016. The overall rating for the practice was good with requires improvement for providing effective services. A breach of legal requirement was found and requirement notice in relation to safe care and treatment issued. The full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for The Osmaston Surgery on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 24 May 2018 to confirm that the practice met the legal requirement in relation to the breach in regulation that we identified in our previous inspection on 12 February 2016.

Our key findings are as follows:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice identified learning from them. However, not all staff were fully engaged in process of learning from significant event and complaint reviews as they didn’t attend the meetings.
  • The practice worked closely with other health and social care professionals involved in patient’s care. Regular meetings with the community health and social teams and palliative care teams were held to discuss the care of patients who were frail / vulnerable or who were receiving end of life care. The practice met regularly with the health visitor and midwife leads to discuss children at risk.
  • The practice had carried out clinical audits to review the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines. The audits seen demonstrated quality improvements.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • The practice had reviewed the results of the national GP survey published in July 2017 and developed an action plan to improve results.
  • The practice provided a range of appointments, including ‘drop in’ clinics every day. Patients told us they could usually get an appointment when they needed one.

There were areas of practice where the provider should make improvements..

The provider should:

  • Update the safeguarding policies to include information about modern slavery and the contact details for
  • Demonstrate the competence of staff employed in advanced roles by audit of their clinical decision making.
  • Promote staff engagement in the sharing of learning from significant event and complaint reviews.
  • Document the risk assessments for
  • Carry out a risk assessment to assess whether they needed to keep medicine to treat croup in children in stock
  • Share the practice vision with the staff team.
  • Fully utilise all opportunities for learning and improving performance.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice