• Doctor
  • GP practice

Swan Lane Medical Centre

Overall: Good read more about inspection ratings

Swan Lane, Bolton, Lancashire, BL3 6TL (01204) 661600

Provided and run by:
Swan Lane Medical Centre

Latest inspection summary

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Background to this inspection

Updated 22 November 2018

Swan Lane Medical Centre is the registered provider and provides primary care services to its registered list of approximately 8500 patients. The practice delivers commissioned services under a Personal Medical Service (PMS) contract and is a member of 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 offers direct enhanced services that include meningitis provision, the childhood vaccination and immunisation scheme, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, learning disabilities, minor surgery and rotavirus and shingles immunisation.

Regulated activities (Family planning, Diagnostic and screening procedures, Treatment of disease, disorder or injury, Surgical procedures and Maternity and midwifery services) are delivered to the patient population from the following address:

Swan LaneBoltonLancashireBL3 6TL

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:

At the time of our inspection there were three full time GPs partners (two males, one female), two part time advanced nurse practitioners (female), two practice nurses (female) an assistant practitioner (female) a health care assistant (male) and a patient plan manager. Clinical staff are supported by a new practice manager and assistant practice manager and twelve other staff in the reception and administration team. There is also a health trainer, health improvement practitioner, pharmacist, pharmacy technician and a mental health practitioner working in the practice, theses posts are funded and managed by Bolton Clinical Commissioning Group.

The age profile of the practice population is broadly in line with the CCG averages. The practice ethnicity profile showed 53% of patients were of Asian background another 19% were from a diverse range of ethnic backgrounds and 28% were White British. Approximately 60% of patients did not speak English as a first language. The practice also provided care to approximately 133 patients living in a nearby residential and nursing home. Information taken from Public Health England placed the area in which the practice is located is the second most deprived (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.

Overall inspection

Good

Updated 22 November 2018

This practice is rated as Good overall (Previous rating October 2015 Good)

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 Swan Lane Medical Centre on 24 October 2018 as part of our inspection programme.

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 that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw one area of outstanding practice:

  • Proactive care and treatment is provided for patient’s resident in care homes. GPs provided weekly rounds to each unit within a large complex in addition to regular reactive care provided by the practice. We were provided with numerous examples of the impact of this work on patient’s wellbeing because of the proactive involvement of clinicians and the patient plan manager at the practice. Data provided by the practice also showed a reduction in the number of patients having to go to A&E or call outs from paramedics to the nursing home.

The areas where the provider should make improvements are:

  • There should be a formal system in place to monitor uncollected prescriptions.
  • All significant events should be formally documented centrally and clinical meetings minuted.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice