Gladstone House Surgery

Updated 4 August 2016

Gladstone House Surgery is run by a partnership of four GPs, and provides primary medical services to 5,200 patients  living in Ilkeston and the surrounding areas of Cotmanhay and Kirk Hallam. 

The area has a high prevalence of chronic disease largely relating to the past coal mining industry, smoking and deprivation.

The practice is managed by a principal GP (male) with four part time GP’s (female), which is equivalent  to three full time working GPs. There are four practice nurses, a health care assistant, a practice manager, reception and administration staff. 

The practice holds the Personal Medical Services (PMS) contract to deliver primary medical services.  The practice is open from 8am to 6.30pm Monday to Friday. It does not currently provide  extended surgery hours.

The practice has opted out of providing out-of-hours services to its own patients. Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service provided by Derbyshire Health United.

Updated 4 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Gladstone House Surgery on 11 August 2015. A breach of legal requirements was found, in that a risk assessment had not been completed to determine the risks of exposure to legionella. Overall the practice was rated as good with requires improvement for the safe domain.

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

We undertook a desk based review on 20 July 2016 to check that the provider had completed the required actions, and now met the legal requirement. We did not visit the practice as part of this inspection. This report covers our findings in relation to those requirements.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Gladstone House Surgery 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.

Overall the practice is rated good including the safe domain.

An assessment had been undertaken to determine the risks of exposure to legionella, and an action plan and control measures were in place to eliminate and control the identified risks to ensure the services were safe.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 24 December 2015

This practice was rated as good for the care of people with Long Term Conditions. These patients had a six monthly review with either the GP and/or the nurse to check that their health and medication. The practice also engaged in regular fortnightly community delivery team meetings with District Nurses and Community Matrons. The practice nurses offered home visits to those patients who were either housebound or unable to attend the surgery. The practice encouraged patients to manage their conditions and were also referred to health education programmes if required.

Updated 24 December 2015

The practice was rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances. The practice worked closely with the Citizens Advice Bureau who held a weekly clinic in the surgery. Patients told us that children and young people were treated in an age-appropriate way for example the practice engaged in the “you’re Welcome” teenage priority care scheme. Appointments were available outside of school hours, including telephone consultations and the premises were suitable for children and babies. We saw good examples of joint working with midwives, health visitors and school nurses.

Updated 24 December 2015

The practice is rated as good for the care of older people. The practice offered personalised care to meet the needs of the older people in its population and had an enhanced service for example in its end of life care. The practice held fortnightly community delivery team meetings and risk profiling in order to reduce unplanned hospital admissions. It was responsive to the needs of older people for example, working with the local pharmacy to monitor compliance with medications. The practice also offered home visits from both GP’s and nurses for those individuals whose poor health prevented them from travelling to the practice. transport arrangements were problematic. The practice also offered rapid access appointments for those with enhanced needs.

Updated 24 December 2015

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 in order to accommodate individual needs. For example, the practice offered telephone consultations, late appointments and individuals who were working could call in and request a late or early appointment to accommodate their needs. Appointments were offered online although the uptake for this was low despite the practice actively promoting this service

Updated 24 December 2015

This practice was rated as good for people experiencing poor mental health including people with dementia. 88% of people experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health. Although the practice had low prevalence rates of patients with dementia  this was due to the change in alignment of its dementia homes with other practices in the area as a CCG initiative. However we saw evidence that they were working to increase their diagnostic rates

The practice worked closely with Talking Mental Health a local group who provided visiting mental health workers who saw patients with mental health needs on site. The practice also engaged with a specialist mental health therapist who assisted patients in promoting behaviour change.

Staff had received training on how to care for people with mental health needs and dementia.

Updated 24 December 2015

This practice is rated as good for the people whose circumstances make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks for people with a learning disability. With 53% of individuals receiving their annual check to date. Staff had been trained 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. The practice had recently started to identify those who were “young carers”

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