Background to this inspection
Updated
17 January 2020
Ilford Lane Surgery is located in a residential and commercial area of the London Borough of Redbridge. The practice is located on the first floor of a purpose-built local NHS building, which is home to several other healthcare providers. The immediate roads around the practice are subject to permit-only parking, however parking is available on roads approximately 5-6 minutes’ walk from the practice. The practice has bays for parking for disabled patients at the side of the practice. The nearest bus stop is approximately one minute from the practice.
There are approximately 5660 patients registered at the practice. Statistics shows high income deprivation among the registered population. Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The registered population is slightly higher than the national average for those aged between 25-39. Patients registered at the practice come from a variety of geographical and ethnic backgrounds including Asian, Western European, Eastern European and Afro Caribbean. Thirty-three percent of the practice population have been identified as having a long-term health condition, compared with the CCG average of 43% and the national average of 51%.
Care and treatment is delivered by the lead GP (male), one regular salaried doctor (female) and one long-term locum doctor (female) who between them provide approximately 19 clinical sessions weekly. There is one Practice Nurse (female) at the surgery who provides three sessions weekly and two healthcare assistants (female) who between them provides seven sessions per week. In addition, the practice employs a clinical pharmacist who provides two sessions per week. Seven administrative/reception staff work at the practice and are led by a part-time practice manager.
The practice is open at the following times:-
- 8am - 6:30pm (Monday, Tuesday, Wednesday, Thursday and Friday)
Extended hours surgery is held on the following days and times:-
- Monday (6:30pm - 8:00pm)
- Wednesday (6:30pm - 8:00pm)
Clinical sessions are run at the following times:-
- 8:30am - 1:00pm; 2:30pm - 7:30pm (Monday)
- 8:30am - 1:00pm; 2:00pm - 6:00pm (Tuesday)
- 9:00am - 1:00pm; 1:30pm - 7:30pm (Wednesday)
- 9:00am - 1:00pm; 2:00pm – 6:00pm (Thursday)
- 9:00am - 3:00pm; 4:00pm – 6:00pm (Friday)
Patients can book appointments in person, by telephone and online via the practice website.
The practice telephone lines close between 1pm and 2pm daily. Patients requiring a GP appointment outside of practice opening hours are advised to contact the NHS GP out of hours service on telephone number 111.
The practice has a General Medical Services (GMS) contract and conducts the following regulated activities:-
- Diagnostic and screening procedures
- Treatment of disease, disorder or injury
- Maternity and midwifery services
- Family Planning
Redbridge Clinical Commissioning Group (CCG) is the practice’s commissioning body.
Updated
17 January 2020
We carried out an announced comprehensive inspection at Ilford Lane Surgery on 17 December 2018. The overall rating for the practice was good, with the exception of key question responsive which was rated requires improvement. The full report on the December 2018 inspection can be found by selecting the ‘all reports’ link for Ilford Lane Surgery on our website at www.cqc.org.uk.
This inspection was a focused follow-up inspection carried out on 10 December 2019 to confirm that the practice continued to make improvement on areas that we had identified at our previous inspection held on 17 December 2018. This report covers our findings in relation to those improvements and also additional improvements made since our last inspection.
Overall the practice remains rated as Good, with key question responsive now also rated as Good.
We rated the practice as good for responsive services because:-:
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice had improved patient satisfaction levels in all but one area in relation to gaining access to services at the practice. In addition, the practice had introduced e-consultation as another way for patients to contact the practice.
- There was a focus on continuous improvement at all levels of the organisation to provide quality services for patients. This was evidenced through the practice analysis of data obtained from in-house and national surveys to identify where improvements could be made to services provided.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
People with long term conditions
Updated
24 March 2017
The practice is rated as good for the care of people with long-term conditions.
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All these patients had a named GP. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.
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Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
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74% of patients with diabetes, had measured blood sugar levels within the acceptable range in the preceding 12 months, which was comparable to the local and national averages.
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Longer appointments and home visits were available when needed.
Families, children and young people
Updated
24 March 2017
The practice is rated as good for the care of families, children and young people.
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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 relatively high for all standard childhood immunisations.
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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.
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81% of women aged 25-64 had had a cervical screening test in the preceding 5 years, which was comparable to the national average of 82%.
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Appointments were available outside of school hours and the premises were suitable for children and babies.
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We saw positive examples of joint working with midwives, and health visitors.
Updated
24 March 2017
The practice is rated as good for the care of older people
.
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The practice offered proactive, personalised care to meet the needs of the older people in its population.
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The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
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The practice opportunistically carried out memory assessments, where a potential issue was found, the practice offered further screening and referral to local memory services.
Working age people (including those recently retired and students)
Updated
24 March 2017
The practice is rated as good for the care of working-age people (including those recently retired and students).
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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.
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The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
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The practice offered extended hours clinics on Monday and Wednesday evenings for patients who could not attend during working hours.
People experiencing poor mental health (including people with dementia)
Updated
24 March 2017
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).
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Performance for care of patients with mental health issues was similar to local and national averages. For example, 93% of patients with schizophrenia, bipolar affective disorder and other psychoses had had their alcohol consumption recorded in the preceding 12 months compared to the CCG average of 91% and a national average of 90%.
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The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
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The practice carried out advance care planning for patients with dementia.
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The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
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The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
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Staff had a good understanding of how to support patients with mental health needs and dementia.
People whose circumstances may make them vulnerable
Updated
24 March 2017
The practice is rated as good for the care of people whose circumstances may make them vulnerable.
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There were no formal annual reviews for patients with learning disability, but following our inspection the practice carried out annual reviews.
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The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.
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The practice offered longer appointments for patients with a learning disability.
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The practice regularly worked with other health care professionals in the case management of vulnerable patients.
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The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
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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.