Coleridge Medical Centre

Updated 26 June 2023

Coleridge Medical Centre is located in Ottery St Mary at:

Coleridge Medical Centre

Canaan way

Ottery St Mary

Devon

EX11 1EQ

The practice has a branch surgery at Whimple:

Sandfords Surgery

Station road

Whimple

EX5 2TS

The practice offers services from both a main practice and a branch surgery. Patients can access services at either surgery.

The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures, and treatment of disease, disorder or injury. These are delivered from both sites.

The practice is situated within the NHS Devon Integrated Care System (ICS) and delivers General Medical Services (GMS) to a patient population of about 16,200. This is part of a contract held with NHS England.

The practice is part of a wider network of GP practices forming a primary care network (PCN) with Honiton Surgery and Sid Valley Practice with a total of 50,000 patients.

Information published by the Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the highest decile (10 of 10). The lower the decile, the more deprived the practice population is relative to others.

According to the latest available data, the ethnic make-up of the practice area is 0.6% Asian, 98.6% White, 0.1% Black, 0.7% Mixed, and 0% Other.

The age distribution of the practice population is higher than the local and national averages. There are a similar number of male and female patients registered at the practice.

There is a team of 16 GPs who provide cover at both practices. The practice has a team of 3 advanced nurse practicianers and 7 practice nurses alongside 2 healthcare assistants, and a nursing associate who provide nurse led clinics for long-term condition at both the main and the branch locations. The GPs are supported at the practice by a team of reception/administration staff. The practice manager and assistant practice manager are based at the main location to provide managerial oversight.

The practice is open between 08.00 and 18.30 Monday to Friday. The practice offers a range of appointment types including book on the day, telephone consultations and advance appointments.

Extended access is provided locally by the East Devon Federation, where late evening and weekend appointments are available. Out of hours patients are directed to contact the service by using the NHS 111 number.

Updated 26 June 2023

We carried out an announced comprehensive inspection at Coleridge Medical Centre on 24 April 2023. Overall, the practice is rated as good.

Safe - good,
Effective - good,
Caring - good,
Responsive - good,
Well-led - good,

Following our previous inspection on 12June 2018, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Coleridge Medical Practice on our website at www.cqc.org.uk

Why we carried out this inspection
We carried out this inspection in line with our inspection priorities.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:
• Conducting staff interviews using video conferencing.
• Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A short site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We found that:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice had good links with community groups and worked in collaboration to promote local health promotion groups and signpost patients to appropriate services.
• Patients could access care and treatment in a timely way by a variety of methods.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

However:

• The practice should consider replacing carpet tiles with solid flooring in clinical areas.
• Not all patients with learning disabilities had received an annual health check.
• Patients having had more than one course of emergency steroids for asthma did not always have appropriate follow up reviews.
• The practice did not ensure a consistent quality of medication reviews.
• MHRA alerts were not always actioned in a timely manner.
• Patient record summarising was not always completed in an appropriate timescale.
• Strive to bring the percentage of persons eligible to have had cervical cancer screening to meet the national target of 80%
• Staff should be reminded that computers with clinical software need to be locked when not in use.

We found 1 breach of regulations. The provider must:

• Strive to bring the percentage of persons eligible to have had learning disability annual health checks higher.
• Ensure patients who had more than one course of emergency steroids for asthma had appropriate follow up reviews.
• Ensure patient record summarising is completed within a reasonable timescale.
• Ensure all patient facing staff were trained to an appropriate safeguarding level.

Whilst we found no breaches of regulations, the provider should:

• Replace carpet tiles with solid flooring in clinical areas
• Ensure all patient facing staff were trained to the appropriate safeguarding level.
• Ensure MHRA Alerts were actioned in a timely manner.
• Strive to bring the percentage of persons eligible to have had cervical cancer screening to meet the national target of 80%

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care