Archived: Dr Anuradha Giri Also known as Friendly Family Surgery

Updated 6 May 2016

Dr Anuradha Giri also known as The Friendly Family Surgery provides primary medical services to approximately 3766 patients through a personal medical services contract (PMS). Services are provided to patients from a single site in purpose built premises.

The level of deprivation within the practice population is higher than the national average. Income deprivation affecting children is higher than the national average although deprivation affecting older people is below the national average. The area has a high number of people who are unemployed.

The clinical team comprises two female GP partners, a male salaried GP, a practice nurse and a healthcare assistant. The clinical team is supported by a full time practice manager and a team of administrative staff including a care co-ordinator and reception staff.

The practice is open from 8am to 6.30pm Monday to Friday. The consultation times for morning GP appointments are from 8am to 11.50am. Afternoon appointments are offered from 1pm until 6pm. The practice offers extended hours alternating on a Tuesday or Wednesday evening until 8.30pm.

The practice has opted out of providing out-of-hours services to its own patients. This service is provided by Derbyshire Health United through the 111 system.

Updated 6 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Friendly Family Surgery on 4 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Feedback from patients about their care was positive. Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand and learning from complaints was shared across the practice.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The practice had an active Patient Participation Group (PPG) and worked with them to review and improve services for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 6 May 2016

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

• GPs had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Care plans were in place for patients identified as being at risk of admission and progress reviews held monthly with multidisciplinary teams.

• Longer appointments and home visits were available when needed.

• As a small practice all patients, their carers and family were well known to the clinical and reception team and services tailored to their individual needs through formal care plans and flexibility of appointments managed by the reception staff, to provide the best possible care, through formal care plans and in.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 6 May 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 living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances.
• Immunisation rates were in line with the locality for all standard childhood immunisations. For example, childhood immunisation rates for the vaccinations given to five year olds ranged from 93% to 100% compared to a CCG average of 96% to 99%.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
• Appointments were available outside of school hours. Urgent appointments were always available on the day.
• Although there were no dedicated baby changing facilities, staff told us a room would always be made available when required.

Updated 6 May 2016

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

• The practice offered proactive, personalised care to meet the needs of older people in its population. For example there was a nominated carer’s lead who was able to signpost support and information for locally available services and all carers were registered with the practice to alert clinicians when they attended for appointments.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The practice worked effectively with the multi-disciplinary teams to identify patients at risk of admission to hospital and to ensure their needs were met.

Updated 6 May 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. This included access to telephone appointments and online booking of appointments.
• The practice offered extended hours appointments one evening per week to meet the needs of this population group.
• Online resources to healthy living and health checks were signposted through the practice website and health promotion and screening was provided that reflected the needs for this age group.

Updated 6 May 2016

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

• A total of 86% of people diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months which was slightly above the CCG average of 84%.
• A total of 93% of patients with a mental health condition had a comprehensive care plan documented in their records in the previous 12 months which was above the CCG average of 88%.
• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• It had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• Staff had a good understanding of how to support people with mental health needs and dementia.

Updated 6 May 2016

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

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• Longer appointments were available for people with a learning disability in addition to offering other reasonable adjustments.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• The practice told vulnerable patients 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.