Archived: Eden Terrace Surgery

Updated 22 January 2015

Eden Terrace Surgery is situated near to the centre of Sunderland. It is close to both the Sunderland Royal Hospital and University of Sunderland City Campus. The practice provides primary medical care services to patients living to the south of the river Wear and west of the city centre of Sunderland.

The provider is a partnership of Dr Amit Mandal and Dr Deepa Kanta Iyengar Sridhar. There is only one registered location.  The practice is based on the ground floor and there is good access via local public transport. The practice is based close to a local metro line and is on major bus routes to and from Sunderland. There is no on-site parking and the immediate roads surrounding the practice have restricted parking. There is a patient toilet on site; however this is not accessible to most people with a physical disability due to its size and location. The practice provides services to approximately 2,500 patients of all ages.

The practice has two partner GPs, a practice nurse, a regular locum healthcare assistant, a practice manager and three reception and administrative staff.

The service for patients requiring urgent medical attention out of hours is provided by Primecare and the 111 service.

In Sunderland, overall, 4.0% of the population belongs to non-white minorities. The practice had a higher than average percentage of female patients between the ages of 15 and 34 and a higher than average percentage of male patients between the ages of 20 and 49 against national comparators. There were lower than average females over the age of 35 and males over the age of 54. This was consistent with the practice being based in an inner city area, with a high proportion of students living in the area. The practice had the lowest percentage of patients over the age of 65 in Sunderland. The average male life expectancy in the area was 75 and the average female life expectancy was 84. The practice told us they did not have any patients who lived in a care home.

For patients within the area 54.3% had a long-standing health condition and 48.7% had health-related problems in daily life.

Updated 22 January 2015

Eden Terrace Surgery is situated near to the centre of Sunderland. The practice does not have any branch surgeries.

As part of the inspection process, we contacted a number of key stakeholders and reviewed the information they gave to us. This included the local Clinical Commissioning Group (CCG) and the NHS Local Area Team (LAT). Before the inspection we held a listening event where members of the public could tell us about their experiences of GP services within Sunderland. We also asked patients prior to our visit to complete CQC comment cards about their experiences of the service they had received. We spoke with representatives from the Patient Participation Group (PPG) and patients attending for appointments during the inspection. We spoke with all of the staff working in the practice on the day of the inspection.

We found that processes were in place to identify unsafe practices, and measures were put in place to prevent avoidable harm to people. The practice learned from incidents and took action to prevent a recurrence.

Care and treatment was delivered in line with current published best practice. Patients’ needs were being met and referrals to other services were made in a timely manner. The practice was regularly undertaking clinical audit.

All of the patients we spoke with said they were treated with respect and dignity by the practice staff at all times. Patients also reported they felt involved in all decisions surrounding their care or treatment.

Patients said they were satisfied with the appointment systems operated by the practice. The practice had a policy for handling any concerns or complaints people raised. The practice responded to the needs of their practice population.

There was an established management structure within the practice. Staff demonstrated an understanding of their areas of responsibility and reported feeling supported, motivated and valued by their peers.

The practice was safe, effective, caring, responsive and well led for all population groups.

Regulated activities

The practice registered with the Care Quality Commission (CQC) on 1 April 2013 to deliver care under the following regulated activities:-

• Diagnostic and screening procedures;
• Family planning;
• Maternity and midwifery services;
• Surgical procedures;
• Treatment of disease, disorder or injury.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Updated 22 January 2015

The service for people with long-term conditions was safe, effective, caring, responsive and well led.

Care was tailored to individual needs and circumstances, including the patients’ expectations, values and choices. The practice worked with other agencies to ensure continuity of care and good communication between different providers engaged in people’s care. There were regular reviews undertaken of peoples’ care and treatment related to their conditions, medications and life style choices to reduce the risk of deteriorating health. The practice had performed well on clinical indicators in the Quality and Outcomes Framework (QOF).

Updated 22 January 2015

The service for mothers, babies, children and young people was safe, effective, caring, responsive and well led.

The practice had a slightly lower proportion of patients under the age of 18 compared to other practices locally. The practice had processes in place to regularly assess the development of children and their health. Children and young people were offered access to childhood vaccinations. The practice offered access to advice and support with sexual health for young people. The practice understood when parental consent was needed for care and treatment of a child and how to assess when a child or young person would be considered competent to make their own decisions. The practice referred expectant mothers to local maternity and midwifery services.

Updated 22 January 2015

The service for older people was safe, effective, caring, responsive and well led.

The practice had the lowest proportion of patients over the age of 65 compared to other local practices. Care was tailored to individual needs and circumstances, including the patients’ expectations, values and choices. There was care planning in place for the most elderly and infirm. There were arrangements in place to support people when they reached the end of their life.

Updated 22 January 2015

The service for those of working age and recently retired was safe, effective, caring, responsive and well led.

Access to services for patients in this population group was in line with that for other patient groups. This included flexible appointment times, same day telephone call-backs from clinicians and home visits, should these be required. The practice had late opening hours until 7pm once a week and was routinely open until 6pm on weekdays. The practice provided signposts to other services, such as local support services and pharmacies.

Updated 22 January 2015

The service for people experiencing poor mental health was safe, effective, caring, responsive and well led.

The practice maintained a register of those experiencing poor mental health, so they could plan for and meet the needs of these patients. They undertook regular reviews of the care and treatment provided to these patients. There were care plans in place for those most at risk of deteriorating mental health. The practice understood the needs of the most vulnerable patients experiencing poor mental health on their register and acted on these needs in the planning and delivery of its services.

Updated 22 January 2015

The service for people in vulnerable circumstances who may have poor access to primary care was safe, effective, caring, responsive and well led.

The practice had systems in place to identify patients, families and children who were at risk or vulnerable. The practice offered access to any patients in vulnerable circumstances such as foreign students, homeless patients and asylum seekers if they presented to the surgery. This was even when the patient had not been previously registered with the practice.

The practice understood the needs of the most vulnerable patients on their register and acted on these needs in the planning and delivery of its services.