• Doctor
  • GP practice

Fernlea Surgery

Overall: Good read more about inspection ratings

114 High Road, South Tottenham, London, N15 6JR (020) 8809 6445

Provided and run by:
Fernlea Surgery

Latest inspection summary

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Background to this inspection

Updated 14 January 2020

The Fernlea Surgery (the practice) operates at 114 High Road, South Tottenham, London N15 6JR. South Tottenham overground and Seven Sisters tube and national rail stations are nearby.

The practice provides NHS services through a General Medical Services (GMS) contract to approximately 10,300 patients. The list has increased by around 2,300 patients since our last inspection, following changes affecting other local practices, with 1,600 new patients joining in the past 12 months. There is a turnover rate of approximately 7.5% per year, with patients moving in and out of the area, which has a high overall deprivation level. The majority of patients are working age adults (20-64 years); the practice list has slightly more children registered compared with local and national averages and fewer older patients.

The practice has a General Medical Services contract and operates within the NHS Haringey Clinical Commissioning Group (CCG) which is made up of 38 general practices. It is part of the Welbourne Primary Care Network, with three other local practices. The practice is registered with the CQC to carry out the following regulated activities - diagnostic and screening procedures; treatment of disease, disorder or injury; family planning; maternity and midwifery services; and surgical procedures.

The clinical staff is made up of three GP partners and four salaried GPs, one of whom is shortly to join the partnership, comprising five male GPs and two females. The practice also has a physician associate. There is a senior practice nurse, two nurses, a volunteer nurse and two healthcare assistants. It is a training practice, with one trainee doctor working currently. The administrative team is made up of a business manager, an operations manager and an administrator. There is a reception supervisor and eight receptionists, one of whom also works as a healthcare assistant.

The practice’s opening times are as follows: -

Monday 8:30 am - 6:30 pm

Tuesday 7:30 am - 7:30 pm

Wednesday 7:30 am - 7:30 pm

Thursday 8:30 am - 6:30 pm

Friday 8:30 am - 6:30 pm

Appointments with GPs and other clinical staff are available throughout the day. A walk-in clinic operates each weekday morning until 11:00 am. Home visits and telephone appointments are available.

Extended hours service appointments are available at four locations in the borough, which operate from 6:30 pm - 8:30 pm, Monday to Friday and from 8:00 am - 8:00 pm on the weekends and public holidays.

The practice is closed at weekends and has opted out of providing an out of hours service. Patients calling the practice outside normal operating hours are put through to the local out of hours service provider.

Overall inspection

Good

Updated 14 January 2020

We carried out an announced comprehensive inspection at the Fernlea Surgery (the practice) on 3 December 2019 as part of our inspection programme, following our annual review of the information available to us. The practice had last been inspected in July 2016, when we had rated it Good for all key questions and population groups. Our previous inspection report can be found by going to https://www.cqc.org.uk/location/1-542627206 and selecting the Reports tab.

At this inspection we have rated the practice as Good overall and in respect of the five key questions and six population groups.

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:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

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

  • Continue to with efforts to improve the uptake of cervical screening and childhood immunisation rates and implement action to bring about and sustain improvement.
  • Proceed with reviewing the system for following up patients given two-week referrals for secondary care.
  • Proceed with establishing a formal process to monitor prescriptions uncollected by patients experiencing poor mental health.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care