Overdale Medical Practice

Updated 24 November 2016

Overdale Medical Practice provides primary medical services to approximately 10,800 patients, through a general medical services contract (GMS). This is a locally agreed contract with NHS England.

The main practice is located in the village of Borrowash in Derbyshire, with a branch surgery 2.5 miles away at Breaston. Patients can attend either practice. 

The practice area is less deprived compared to national averages; the population are predominantly of white British background. The practice has a slightly higher than average number of patients over 45 years of age.

The main practice is located in an adapted building; the facilities for patients are on the gr ound and first floor. A stair lift is available for patients with reduced mobility. A minor surgery suite is situated in an adjacent building. Several external providers provide services from the main building, including chiropody and physiotherapy clinics. 

The branch surgery is located in a purpose built, two storey building. Most consulting rooms are on the ground floor.

Overdale Medical Practice  is run by a partnership of five GP partners.  The clinical team includes seven practice nurses, two salaried GPs and five GP partners. The GPs work across both sites and work a combined number of sessions equivalent to five full time GPs. 

The administration team includes a practice manager, an assistant practice manager, an office manager,a recall manager, three administration staff and ten reception staff.

The Borrowash site opens from 8am to 6.30pm Monday to Friday. The Breaston site is open from 8am to 6pm Monday to Friday. Consulting times are usually from 8.30am to midday and from 2pm to 6pm.

The practice has opted out of proving out-of-hours services to its patients. This service is provided by Derbyshire Health United and is accessed via the NHS 111 telephone number.

Updated 24 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Overdale Medical Practice on 18 April 2016. During that inspection we found that the provider had not completed all essential safety checks and risk assessments at the main practice and the branch surgery to ensure the premises are safe. Also, required staff recruitment checks did not include information about any health conditions that are relevant to a person's ability to carry out the work.

Overall the practice was rated as good with are services safe requiring improvement in view of the above.

After the comprehensive inspection, the practice wrote to us to say what action they had taken to meet the legal requirement in relation to the above breach.

We undertook this desk based review on 28 October 2016 to check that the provider had completed the required improvements, and now met the legal requirement. We did not visit the practice as part of this inspection.

This report only covers our findings in relation to the above requirement. You can read the report from our last comprehensive inspection, by selecting the 'all reports'link for Overdale Medical Practice on our website at www.cqc.org.uk.

Our finding across the area we inspected was as follows:

• The practice had taken appropriate action to meet the legal requirement.
• Records showed that the provider had completed the necessary safety checks and risk assessments at the main practice and the branch surgery to ensure the premises are safe. Arrangements were in place to carry out the recommended remedial work where required.   
• Staff recruitment checks required information about any health conditions that are relevant to a person's ability to carry out the work. A health policy and questionnaire was in place, which new staff are required to complete.

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Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 5 July 2016

The practice is rated as good for the care of people with long-term conditions.

A dedicated recall manager was employed to ensure that patients were invited in for regular reviews. Patients were reviewed in GP and nurse led chronic disease management clinics.

The nursing staff had the knowledge, skills and competency to respond to the needs of patients with long term conditions such as diabetes and asthma. Longer appointments and home visits were available when needed.

Written management plans had been developed for patients with long term conditions and those at risk of hospital admissions. For those people with the most complex needs, the GPs worked with relevant health and social care professionals to deliver a multidisciplinary package of care.

Updated 5 July 2016

The practice is rated as good for the care of families, children and young people.

There were systems in place to identify and follow up children who were at risk, for example, children and young people who had protection plans in place. Children who had not attended appointments were followed up, and where non-attendance continued, reported to the GP who acted as the child safeguarding lead.

Appointments were available outside of school hours and the premises were suitable for children and babies. Same day emergency appointments were available for children.

There were screening and vaccination programmes in place and the practice indicators were comparable with the local Clinical Commissioning Group averages.

The practice worked with the health visiting team to encourage attendance. New mothers were offered post-natal checks and development checks for their babies.

Updated 5 July 2016

The practice is rated as good for the care of older people.

Every patient over the age of 75 had a named GP and all hospital admissions were reviewed. Patients identified as being at risk of hospital admission had a written care plan. This included patients that resided in nursing and care homes.

A care co-ordinator (employed by Derbyshire Community Health Services Community Foundation Trust) supported the clinicians and reviewed all hospital admissions, hospital discharges and attendances with the out of hours service.

The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, risk profiling and case management.

The practice was responsive to the needs of older people and offered home visits and offered longer appointments as required. The practice had identified and supported patients who were also carers.

Updated 5 July 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

A range of on-line services were available, including medication requests, booking of GP appointments and access to health medical records.

The practice had introduced the option to make an online booking for an asthma review with the nurse aimed at an improved uptake from the working population.

The practice offered all patients aged 40 to 74 years old a health check through referrals to the local healthy living scheme. The practice offered a full range of health promotion and screening that reflected the needs for this age group.

Updated 5 July 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

Patients who presented with an acute mental health crisis were offered same day appointments. People experiencing poor mental health were offered an annual physical health check. Dementia screening was offered to patients identified in the at risk groups. GPs carried out advance care planning for patients with dementia.

The practice had regular meetings with other health professionals in the case management of patients with mental health needs.

The practice worked closely with the health visiting team to support mothers experiencing post-natal depression. It had told patients about how to access various support groups and voluntary organisations and signposted patients to support groups where appropriate.

Updated 5 July 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

We found that the practice enabled all patients to access their GP services and assisted those with hearing and sight difficulties. A translation service was available for non-English speaking patients. The main site had a bell at the entrance door that could be used to request assistance. The branch surgery had automated entrance doors. Both sites provided toilets suitable for disabled patients.

The practice held a register of patients with a learning disability and had developed individual care plans for each patient. Out of 16 patients on the learning disabilities register, six had received annual health checks in the preceding 12 months and more proactive steps were needed to improve the uptake of this service. Longer appointments were offered for patients with a learning disability and carers were encouraged by GPs to be involved with care planning.

The practice had a register of vulnerable patients and displayed information about how to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours. The practice held a list of patients who required palliative care and a GP partner acted as the lead. The gold standards framework was used for end of life care.