Background to this inspection
Updated
29 May 2018
Edgworth Medical Practice is the registered provider and provides primary care services to its registered list of 2909 patients. The practice delivers commissioned services under the Personal Medical Services (PMS) contract and is a member of NHS Bolton Clinical Commissioning Group (CCG).
The PMS contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures, and treatment of disease, disorder and injury.
Regulated activities are delivered to the patient population from the following addresses:
354 Bolton Road
Turton
Bolton
Lancashire
BL7 0DU
The branch surgery address is:
Darwen Road
Bromley Cross
Bolton
BL7 9RG
The practice has a website that contains comprehensive information about what they do to support their patient population and the in house and online services offered:
The age profile of the practice population is broadly in line with the CCG averages. Information taken from Public Health England placed the area in which the practice is located in the tenth least deprived decile (from a possible range of between 1 and 10). In general, people living in more deprived areas tend to have greater need for health services.
Updated
29 May 2018
This 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 Edgworth Medical Practice on 9 May 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.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported they were able to access care when they needed it.
- Patient feedback on the care and treatment delivered by all staff was consistently positive.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
The practice identified that the need to promote lesbian, gay, bisexual, and transgender (LGBT) information and services for those patients. The practice staff had received training and there was a LGBT notice board in the waiting area that promoted LGBT patient inclusion in the practice, had information on LGBT matters and signposted them to appropriate available services. This work had been accredited by the LGBT foundation, a charity based in Manchester, and the practice received their gold award for this.
The areas where the provider should make improvements are:
- Introduce a procedure to follow up on prescriptions that had been requested by patients but not collected from the practice.
- Consider clinical staff taking emergency medicines on home visits because of the wide geographical area covered.
- Remove any out of date single use items and suitably dispose of them.
- Consider having privacy curtains in treatment rooms as appropriate.
Please refer to the Evidence Tables for further information.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice