Background to this inspection
Updated
7 January 2016
Tudor Lodge Surgery is situated in the town of Weston Super Mare, Somerset. The practice had approximately 10,250 registered patients. The practice provides care and support to patients residing in nursing and care homes in the area. Based on information from NHS England, we found that 2.6% of patients registered at the practice lived in nursing homes.
The practice is located in converted premises over two levels. There is a central patient waiting and reception area with 12 consulting rooms, two of which serve as treatment rooms, accessible from this area.
The practice is on a primary medical service contract with North Somerset Clinical Commissioning Group.
Tudor Lodge Surgery is only provided from one location:
Tudor Lodge Surgery
3 Nithsdale Road
Weston Super Mare
Somerset
BS23 4JP
The practice supported patients from all of the population groups such as older people, people with long-term conditions, mothers, babies, children and young people, working-age population and those recently retired; people in vulnerable circumstances who may have poor access to primary care and people experiencing poor mental health.
Over 35% of patients registered with the practice were working aged from 15 to 44 years, 27.3% were aged from 45 to 64 years old. Just above 13% were over 65 years old. Around 7.6% of the practice patients were 75-84 years old and just under 3.15% of patients were over 85 years old. Just below 15% patients were less than 14 years of age. Information from NHS England showed that 56% of the patients had long standing health conditions, which was above the national average of 54%. The percentage of patients who had caring responsibilities was just under 18% which is similar the national average of 18.5%. Of the working population just below 2% were unemployed which is below the national average of 6.3%.
The practice consisted of four GP partners who employed four salaried GPs and supported one GP trainee. Of these nine GPs there was one male and eight female GPs, one currently being on maternity leave. The practice was a training practice with up to two GP trainees at any one time. There was a nurse prescriber, two practice nurses and two health care assistants all of whom provided health screening and treatment five days a week. There were additional clinics implemented when required to meet patient’s needs such as the undertaking of influenza vaccinations.
The practice was open between the hours of 8.00am to 6.30pm Monday to Friday; the practice offered extended hours on Wednesday and opened from 7.00am for Tudor Lodge Surgery pre-booked appointments. The practice referred patients to another provider BrisDoc and NHS 111 for an out of hour’s service to deal with any urgent patient needs when the practice was closed.
Updated
7 January 2016
Letter from the Chief Inspector of General Practice
We carried out an unannounced comprehensive inspection of this practice on 11 February 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the breaches.
We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only 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 Tudor Lodge Surgery on our website at www.cqc.org.uk.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
7 January 2016
At our previous comprehensive inspection on 11 February 2015 the practice had been rated as requires improvement for the care of people with long- term conditions. The provider had been rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.
At our focussed follow-up inspection on 27 October 2016, the practice provided records and information to demonstrate that the legal requirements had been met. The provider is rated as good for providing safe and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.
Families, children and young people
Updated
7 January 2016
At our previous comprehensive inspection on 11 February 2015 the practice had been rated as requires improvement for the care of families, children and young people. The provider had been rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.
At our focussed follow-up inspection on 27 October 2016, the practice provided records and information to demonstrate that the legal requirements had been met. The provider is rated as good for providing safe and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.
Updated
7 January 2016
At our previous comprehensive inspection on 11 February 2015 the practice had been rated as requires improvement for the care of older people. The provider had been rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.
At our focussed follow-up inspection on 27 October 2016, the practice provided records and information to demonstrate that the legal requirements had been met. The provider is rated as good for providing safe and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.
Working age people (including those recently retired and students)
Updated
7 January 2016
At our previous comprehensive inspection on 11 February 2015 the practice had been rated as requires improvement for the care of working age people ( including those recently retired and students). The provider had been rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.
At our focussed follow-up inspection on 27 October 2016, the practice provided records and information to demonstrate that the legal requirements had been met. The provider is rated as good for providing safe and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.
People experiencing poor mental health (including people with dementia)
Updated
7 January 2016
At our previous comprehensive inspection on 11 February 2015 the practice had been rated as requires improvement for the care of people experiencing poor mental health (including people with dementia). The provider had been rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.
At our focussed follow-up inspection on 27 October 2016, the practice provided records and information to demonstrate that the legal requirements had been met. The provider is rated as good for providing safe and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.
People whose circumstances may make them vulnerable
Updated
7 January 2016
At our previous comprehensive inspection on 11 February 2015 the practice had been rated as requires improvement for the care of people whose circumstances may make them vulnerable. The provider had been rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.
At our focussed follow-up inspection on 27 October 2016, the practice provided records and information to demonstrate that the legal requirements had been met. The provider is rated as good for providing safe and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.