The Lakeside Surgery

Updated 27 July 2016

We previously undertook a comprehensive inspection on 12 May 2015. We rated the service as good overall but as ‘requires improvement’ for providing safe services. We issued two Requirement Notices as a result of our findings and we requested an action plan from the provider as to how they intended to address the shortfalls.

The Lakeside Surgery is located in Lymm, Cheshire. The practice was established on the present site in 1974. There are approximately 10,500 patients on the practice list and the majority of patients are of white British background. The Lakeside Surgery operates a branch practice known as The Quays Grappenhall Surgery.

The practice has two male and one female GP partners in addition there is one female salaried GP. There are two practice nurses, reception and administration staff including a practice manager. The practice is open 8am to 6:30pm Monday to Friday. The practice offers an extended hours service for those patients who cannot attend during normal working hours every Thursday until 8:30pm. Patients requiring a GP outside of normal working hours are advised to contact the surgery and they are then directed to contact the local 111service to triage their symptoms and be forwarded to an external out of hours service (provided by Bridgewater Community Trust).

The practice has a General Medical Services (GMS) contract and also offers enhanced services for example; childhood and travel immunisations and vaccinations and avoidance of unplanned hospital admissions schemes.

Updated 27 July 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 12 May 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to ensuring appropriate staff recruitment checks were carried out and to ensure a periodic assessment of the electrical installation of the building.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Lakeside Surgery on our website at www.cqc.org.uk

The findings of this review were as follows:

• The practice had addressed the issues identified during the previous inspection.

• The practice provided confirmation that a recruitment check had been carried out appropriately for one of the GPs.

• A check on the safety of the electrical installation had been carried out and a scheduled date was in place to have remedial work carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 13 August 2015

The practice is rated as good for the care of people with long-term conditions. The practice had adopted a holistic approach to patient care rather than making separate appointments for each medical condition. Clinical audits were carried out to ensure patients were receiving optimal care, for example diabetes management.

Updated 13 August 2015

The practice is rated as good for the care of families, children and young people. One GP was the safeguarding lead for the practice. There were systems in place to identify and follow up children living in disadvantaged circumstances. The midwife visited the practice once a week and there were immunisation clinics.

Updated 13 August 2015

The practice is rated as good for the care of older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, the avoidance of unplanned admissions scheme. The practice was also involved in a CCG led service for the single point of contact for patients living in nursing homes. A triage system was in place whereby a clinician would assess the needs of patients and contact the GP practice if a home visit was required. The practice had a designated named GP for patients who are 75 and over. The practice carried out home visits and also visited eight local nursing homes on a regular basis.

Updated 13 August 2015

The practice is rated as good for the care of working age people. The needs of this group had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. For example the practice offered late evening appointments once a week for those patients who could not attend during the day.

The practice offered online prescription ordering and online appointment services. Telephone consultations were available instead of patients having to attend the practice.

Updated 13 August 2015

The practice is rated as good for the care of people experiencing poor mental health. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health and sign posted patients to the appropriate services.

Updated 13 August 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice had systems in place to identify patients in vulnerable services and signposted them to appropriate services and support.