Background to this inspection
Updated
31 May 2018
Ashlea Medical Practice offers primary medical services via a general medical services (GMS) contract to approximately 20,150 registered patients. The provider has two practice locations. Linden House situated in Leatherhead and a branch surgery, Gilbert House situated in Ashtead. Patients can be seen at either location. We only visited Linden House for this inspection.
Linden House
30 Upper Fairfield Road, Leatherhead, Surrey, KT22 7HH
Gilbert House
Gilbert House Surgery, 39 Woodfield Lane, Ashtead, Surrey, KT21 2BQ
Ashlea Medical Practice is registered as a GP training practice providing training opportunities for doctors seeking to become fully qualified GPs (registrars).
Care and treatment is delivered at both locations by nine GP partners, and six salaried GPs. There are also two registrars. There is a good mix of male and female GPs. The practice also employs six practice nurses, two healthcare assistants and a team of receptionists, administration staff and two practice reception managers. Operational management is provided by the practice manager and the assistant practice manager.
The practice runs a number of services for its patients including a minor illness clinic, asthma clinics, child immunisation clinics, diabetes clinics, new patient checks, and weight management support.
The practice is registered to provide the following regulated activities:
- Treatment of disease, disorder or injury
- Family planning services
- Maternity and midwifery services
- Surgical procedures
- Diagnostic and screening procedures
The practice is open between 8.00am and 6.30pm Monday to Friday.
Extended hours opening:
Monday and Friday 7.30am - 8am and 6.30pm - 7.15pm
Tuesday and Wednesday 7.15am - 8am and 6.30pm - 7.15pm
Thursday 6.30pm - 7.15pm
The practice is part of a federation of GP practices that offer evening appointments until 9pm and weekend appointments 9am until 1pm. These appointments are run from locations in Leatherhead, Epsom and on the Downs.
Patients (birth to 16 years) are also able to attend a children’s clinic Monday to Friday from 4pm to 8pm run from separate locations.
During the times when the practice is closed, the practice has arrangements for patients to access care from Care UK which is an Out of Hours provider.
Updated
31 May 2018
Ashley Medical practice was previously inspected in November 2014 and July 2015 and was rated good overall and in all domains.
At this inspection in April 2018 the practice is rated as Good overall.
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
We carried out an announced comprehensive inspection at Ashely Medical Practice on 25 April 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- 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.
- There was a strong focus on improvement at all levels of the organisation.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Staff were supported in personal development and training and received regular appraisals.
- Data from the Quality and Outcomes Framework (QOF) showed the results for practice management of patients with long-term conditions were good.
- Information about services and how to complain was available and easy to understand.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Patients said they were able to book an appointment that suited their needs. Pre-bookable, on the day appointments, home visits and a telephone consultation service were available. Urgent appointments for those with enhanced needs were also provided the same day.
- The practice was equipped to treat patients and meet their needs.
- The patient participation group (PPG) had won the PPG of the year award 2017 from the National Association of Patient Participation Groups.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice