Background to this inspection
Updated
26 June 2018
The practice is situated in the centre of Epsom and provides general medical services to approximately 14,400 patients. Derby Medical Centre is registered as a GP training practice providing training opportunities for doctors seeking to become fully qualified GPs (registrars).
Information published by Public Health England rates the level of deprivation within the practice population group as nine on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Male and female life expectancy in the practice geographical area are 81 years for males and 85 years for females both of which are similar or above the England average of 79 years and 83 years respectively.
Care and treatment is provided by six GPs and two salaried GPs. The practice also employs six practice nurses, one health care assistant, a phlebotomist, a team of receptionists, and administration staff. Operational management is provided by the practice manager and the assistant practice manager.
Opening hours are Monday to Friday 8.15am to 6.15pm and Monday 6.30pm to 8pm. The practice provides a range of services to patients including annual checks for chronic disease management, weight management advice, family planning, immunisations and cervical screening.
The practice is registered to provide the following regulated activities:
- Treatment of disease, disorder or injury
- Family planning services
- Maternity and midwifery services
- Surgical procedures
- Diagnostic and screening procedures
The practice is part of a federation of GP practices that offer evening appointments until 9pm and weekend appointments 9am until 1pm. These appointments are run from locations in Leatherhead, Epsom and on the Downs.
Patients (birth to 16 years) are also able to attend a children’s clinic Monday to Friday from 4pm to 8pm run from separate locations.
During the times when the practice is closed, the practice has arrangements for patients to access care from Care UK which is an Out of Hours provider.
Updated
26 June 2018
Derby Medical Centre was previously inspected in November 2014 and December 2015 and was rated good overall and in all domains.
At this inspection in May 2018 the 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 Derby Medical Centre on 23 May 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is 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 had clear 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 used their knowledge of the local community and patient population as levers to deliver high quality and person centred care.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- There was a strong focus on improvement at all levels of the organisation.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Staff were supported in personal development and training and received regular appraisals.
- Data from the Quality and Outcomes Framework (QOF) showed the results for practice management of patients with long-term conditions were good.
- Information about services and how to complain was available and easy to understand.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Patients said they were able to book an appointment that suited their needs. Pre-bookable, on the day appointments and home visits were available. Urgent appointments for those with enhanced needs were also provided the same day.
- The practice was equipped to treat patients and meet their needs.
- The practice offered personal lists which ensured good continuity of care.
The areas where the provider should make improvements are:
- Consider why health reviews for patients with learning disabilities are low and how this could be improved.
- Investigate any learning where exception reporting for certain areas of QOF are higher than national averages and how this could be improved.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice