5 June 2023
During a routine inspection
We carried out an unannounced comprehensive inspection at The Osmaston Surgery on 5 June 2023. Overall, the practice is rated as inadequate.
Safe - inadequate
Effective - inadequate
Caring - requires improvement
Responsive - inadequate
Well-led - inadequate
Following our previous inspection on 24 May 2018, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Osmaston Surgery on our website at www.cqc.org.uk
Why we carried out this inspection.
We carried out this inspection to follow up concerns reported to us.
How we carried out the inspection.
- An unannounced site visit.
- Conducting staff interviews.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We found that:
- The practice did not ensure care and treatment was provided in a safe way to patients.
- The practice had not established effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
- The service was not provided in a way to care and respond to patients’ needs.
We found 2 breaches of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
In addition, the provide should:
- Review access to appointments and continue to develop sustainable improvements to improve patient experience.
- Improve the uptake of childhood immunisations and cancer screening.
As a result of the inspection team’s findings from the inspection, as to non-compliance, but more seriously, the risk to service users’ life, health and wellbeing, the Commission decided to issue an urgent notice of decision to impose conditions on the provider’s registration. The notice was served on the provider on 13 June 2023 and took immediate effect.
I am placing this service in special measures. Services placed in special measures will be inspected again within 6 months. If insufficient improvements have been made such that there remains a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within 6 months if they do not improve.
The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further 6 months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.
Special measures will give people who use the service the reassurance that the care they get should improve
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care