Background to this inspection
Updated
23 March 2017
Dr JD Seabrook and Dr H L Chambers provide primary care services to its registered list of approximately 4350 patients. The practice is situated and the inspection was conducted at Wrightington Street Surgery, Wigan.
The practice provides services from a modified terrace house. Consultation rooms are on both ground floor and first floor (for suitable patients). There is a hearing loop but no disabled access. The practice is close to Wigan town centre and is easily accessible by local transport links.
There are two GPs, one male and one female, and they are supported by a female practice nurse and a female healthcare assistant. There is also a practice manager and supporting administration staff.
The age profile of the practice is very similar to the CCG and national averages. The male life expectancy for the area is 77 years compared with the CCG averages of 77 years and the national average of 79 years. The female life expectancy for the area is 81 years compared with the CCG averages of 81 years and the national average of 83 years.
The practice delivers commissioned services under the Personal Medical Services (PMS) contract with NHS England and is part of Wigan Clinical Commissioning Group. It offers direct enhanced services for the childhood vaccination and immunisation scheme, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, learning disabilities, patient participation, minor surgery, rotavirus and shingles immunisation, services for violent patients and unplanned admissions.
The practice is open between 8.30am and 6pm Monday, Tuesday, Thursday and Friday, and Wednesday between 8.30am and 1pm. There are appointments available between 7am and 8am on a Tuesday and Thursday mornings.
Patients requiring a GP outside of normal working hours are advised to contact the surgery and they will be directed to the local out of hours service which is provided by Bridgewater NHS Foundation Trust –through NHS 111. Additionally patients can access GP services in the evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.
Updated
23 March 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr JD Seabrook and Dr H L Chambers on 23 August 2016. The overall rating for the practice was good; however the practice required some improvement in the key question safe. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr JD Seabrook and Dr H L Chambers on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 9 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 23 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice remains rated as good.
Our key findings were as follows:
- We reviewed a range of documents and spoke with staff which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe care and treatment and Regulation 13: Safeguarding service users from abuse and improper treatment.
- The registered provider had ensured staff who carry out the role of a chaperone were trained to undertake this duty and also staff received training in infection prevention and control (IPC).
- The registered provider ensured all GPs had received training in safeguarding vulnerable adults and children to the appropriate level.
- The registered provider completed a fire risk assessment and introduced staff training, regular alarm testing and evacuation drills.
On this inspection we also found that the practice had:
- Continued to monitor and review prescribing levels of antibiotics, which are a group of medicines used to treat or prevent some types of bacterial infections.
- Introduced a system for recording staff clinical and administrative meetings.
- Ensured all key members of staff have a copy of the business continuity plan at their disposal at home.
- Reviewed the current system in place for monitoring and disseminating any alerts that the practice received to provide assurances that all relevant staff were aware of them.
- Introduced a system for recording verbal complaints.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
23 March 2017
The practice is rated as good for the care of people with long term conditions.
This rating was given following the comprehensive inspection on 23 August 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-581772946
Families, children and young people
Updated
23 March 2017
The practice is rated as good for the care of families, children and young people.
This rating was given following the comprehensive inspection on 23 August 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-581772946
Updated
23 March 2017
The practice is rated as good for the care of older people.
This rating was given following the comprehensive inspection on 23 August 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-581772946
Working age people (including those recently retired and students)
Updated
23 March 2017
The practice is rated as good for the care of working age people (including those recently retired and students).
This rating was given following the comprehensive inspection on 23 August 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-581772946
People experiencing poor mental health (including people with dementia)
Updated
23 March 2017
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia)
This rating was given following the comprehensive inspection on 23 August 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-581772946
People whose circumstances may make them vulnerable
Updated
23 March 2017
The practice is rated as good for the care of people whose circumstances may make them vulnerable.
This rating was given following the comprehensive inspection on 23 August 2016. A copy of the full report following this inspection is available on our website:
http://www.cqc.org.uk/location/1-581772946