Ide Lane Surgery

Updated 30 January 2018

Ide Lane Surgery provides primary medical services to people living in the area of Alphington, near Exeter and the surrounding areas. There is one registered location, which was inspected on 14 November 2017:

Ide Lane

Exeter

Devon EX2 8UP

Website: http://www.idelanesurgery.nhs.uk/

The practice population is in the eighth more deprived decile for deprivation. In a score of one to ten the lower the decile the more deprived an area is. There is a practice age distribution of male and female patients equivalent to national average figures. Average life expectancy for the area is similar to national figures with males living to an average age of 79 years and females to 83 years.

At the time of our inspection there are approximately 7,595 patients registered at the practice with a team of three GP partners and three salaried GPs. There are three male and three female GPs. Ide Lane Surgery is the registered provider with CQC. In addition there is a practice manager, a nursing team and additional administrative and reception staff.

Patients who use the practice have access to community staff including district nurses, community psychiatric nurses, health visitors, physiotherapists, mental health staff, counsellors, chiropodist and midwives.

The practice is open between Monday and Friday from 8.30am until 6pm. The practice is a member of Exeter Primary Care (EPC), a federation of all 16 Exeter GP practices. The EPC group organise increased GP access outside of core hours. All registered patients are therefore able to be seen by appointment by an ExeterGP, with read-only access to their medical record upon consent,at an Exeter GP practice between Monday and Thursday 6.30pm until 8pm and Saturday and Sunday 9am and 5pm. Information regarding this service is displayed in the practice on a weekly basis and explained when patients book their appointment. Outside of these hours a service is provided by another health care provider by patients dialling the national 111 service.

Routine appointments are available daily and are bookable up to six weeks in advance. Urgent appointments are made available on the day and telephone consultations also take place. Patients are able to access GP advice via an e-consultation service, where they complete a short secure online form and receive a response from their GP within 24 hours.

Ide Lane Surgery is a GP training practice with one approved GP trainer. The practice provides registrar placements for doctors wanting to qualify as GPs. Placements are provided for medical students during the foundation degree training.

Updated 30 January 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection report published

March 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Ide Lane Surgery on 14 November 2017. This was part of our scheduled inspection programme.

At this inspection we found:

• There were two areas where the provider could make improvements to infection control measures and information to patients about the complaint process.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines and to meet the needs of the patient population registered at the practice.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice continued to run a clinic providing effective treatment of leg ulcers, which also carried out preventative work with at risk patients to help avert the causes of leg ulcers.
• Inhouse developed IT systems continued to be used to identify and facilitate early intervention for patients at risk.

• The practice was one of only 12 research practices in the Southwest, supporting and recruiting patients for 36 research studies, 20 in a substantial way in the last three years.
• Staff were committed to working collaboratively using innovative and efficient ways to deliver more joined-up care to vulnerable patients who used services.

The areas where the provider should make improvements are:

• To review and update the infection control policy ensuring all aspects of the Code of Practice on the prevention and control of infections and related guidance are covered.
• To review the outcome letter sent following a complaint to include contact details and information about the Ombudsman service so patients are aware of how to escalate the complaint if they wish to.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 January 2018

Updated 30 January 2018

Updated 30 January 2018

Updated 30 January 2018

Updated 30 January 2018

Updated 30 January 2018