Updated 12 March 2024
The OM Surgery is an NHS GP practice located in Nottingham. The practice was last rated Good (published 1 April 2019). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment: Single Assessment Framework (SAF). We carried out an unannounced on-site assessment on 20 March 2024 of 6 quality statements: Learning culture; Safe environments; Safe and effective staffing; Infection prevention and control; Freedom to speak up; Governance, management and sustainability. The quality statements were selected based on concerns received by CQC relating to safety and governance systems at the practice. We assessed some but not all quality statements at this visit which means we use the ratings from the previous inspection to rate the key questions of safe, effective, caring, and well led. This assessment did not cover all parts of our SAF, therefore we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with our findings. The provider and management had changed in October 2023 following a transfer of the NHS contract to the new provider. At the assessment we found the provider failed to demonstrate a proactive approach in managing safe and well led services. There was limited evidence systems in place promoted a learning culture. We found systems for managing premises and environmental risks were not effective. The practice did not ensure appropriate standards of cleanliness and hygiene were met in line with regulations. Leaders and management had no oversight of the risks above, which is a breach of regulations 12 (safe care and treatment) and 17 (good governance). The provider is subject to an action plan to remedy the breaches.