Archived: Dr Gigurawa Wijethilleke

Updated 13 February 2017

Dr Gigurawa Wijethilleke, also known as Medicare Unit Surgery, is based in a two storey house situated in the centre of the Lostock Hall area of Preston at 1 Croston Road, Lostock Hall, Preston, PR5 5RS. Patient facilities are mainly situated on the ground floor. These comprise of a reception area, waiting room, reception office, consulting room, treatment room and accessible toilet. There is a further treatment room on the first floor which is used occasionally for minor surgery.

The practice provides level access for patients to the building. It has a small car park for patients and staff and there is also a public car park across the road. The practice has public transport nearby.

The practice is part of the Chorley with South Ribble Clinical Commissioning Group (CCG) and services are provided under a General Medical Services (GMS) contract.

There is one principal male GP and one practice nurse, a practice manager who also acts as a medicines co-ordinator and three administrative and reception staff who support the practice.

The practice is open from 8am to 6.30pm every day from Monday to Friday and extended hours are offered on Mondays, Tuesdays and Wednesdays from 6.30pm to 7pm and on most Saturdays from 9am to 12noon. Appointments are available from 8.20am to 12noon and from 3.20pm to 6.10pm every weekday with extended hours appointments on Mondays, Tuesdays and Wednesdays from 6.30pm to 7pm. There is no bookable afternoon surgery on a Thursday when appointments finish at 12noon. Saturday morning appointments run from 9am to 11.30am.

The practice provides services to 2,716 patients. There are higher numbers of patients aged over 40 years of age (56%) than the national average (46%) with more patients aged between 60 and 75 years of age than the national average (19% compared to 15%).

Information published by Public Health England rates the level of deprivation within the practice population group as eight on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Both male and female life expectancy is comparable to the local and national average, 82 years for females compared to 83 years nationally and 79 years for males compared to 79 years nationally.

The practice has a slightly higher proportion of patients experiencing a long-standing health condition than average practices (57% compared to the national average of 54%). The proportion of patients who are in paid work or full time education is lower (58%) than the CCG and national average of 62% and unemployment figures are higher, 10% compared to the CCG average of 3% and national average of 5%.

Updated 13 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Gigurawa Wijethilleke’s practice on 29 September 2016. The overall rating for the practice was good with the key question of safe rated as requires improvement. The full comprehensive report on the September 2016 inspection can be found by on our website at http://www.cqc.org.uk/location/1-510297930/reports.

This inspection was a desk-based review carried out on 18 January 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 29 September 2016. This report covers our findings in relation to those requirements.

Overall the practice is now rated as good.

Our key findings were as follows:

• At the inspection in September 2016 we found that the practice was reliant on the use of a defibrillator situated in a public area close to the practice. At this desk-based review we saw evidence that the practice had purchased a defibrillator for themselves.
• At our previous inspection, we identified that the surgery did not have a legionella risk assessment for the building (legionella is a term for a particular bacterium which can contaminate water systems in buildings). For this inspection, the practice provided evidence to show that a legionella risk assessment had been conducted and necessary control measures had been put in place and were being carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 13 February 2017

The practice is rated as good for the care of people with long-term conditions.

This rating was given following the comprehensive inspection in September 2016. A copy of the full report following this inspection is available on our website http://www.cqc.org.uk/location/1-510297930/reports.

Updated 13 February 2017

The practice is rated as good for the care of families, children and young people.

This rating was given following the comprehensive inspection in September 2016. A copy of the full report following this inspection is available on our website http://www.cqc.org.uk/location/1-510297930/reports.

Updated 13 February 2017

The practice is rated as good for the care of older people.

This rating was given following the comprehensive inspection in September 2016. A copy of the full report following this inspection is available on our website http://www.cqc.org.uk/location/1-510297930/reports.

Updated 13 February 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 in September 2016. A copy of the full report following this inspection is available on our website http://www.cqc.org.uk/location/1-510297930/reports.

Updated 13 February 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 in September 2016. A copy of the full report following this inspection is available on our website http://www.cqc.org.uk/location/1-510297930/reports.

Updated 13 February 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 in September 2016. A copy of the full report following this inspection is available on our website http://www.cqc.org.uk/location/1-510297930/reports.